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MANUS PRASERTHDAM,M.D.,P.A
NPI 1376770826
Specialist in St Petersburg, FL

Active since June 11, 2009
1201 5TH AVE N STE 208, ST PETERSBURG, FL 33705(727) 894-1122(727) 894-0033 Get Directions Write a Review

NPPES record last updated: June 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manus Praserthdam,m.d.,p.a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANUS PRASERTHDAM,M.D.,P.A (NPI 1376770826) is a healthcare organization registered as a specialist in St Petersburg, Florida and active in the NPI registry since June 2009. The organization lists Manus Praserthdam, Owner, as its authorized official.

NPPES Registry Identity

NPI1376770826
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMANUS PRASERTHDAM,M.D.,P.A
Location Address1201 5TH AVE N STE 208St Petersburg, FL 33705-1410
Mailing Address1201 5th Ave N Ste 208St Petersburg, FL 33705-1410 · (727) 894-1122 · Fax (727) 894-0033
Phone(727) 894-1122
Fax(727) 894-0033
Organization SubpartNo
Authorized OfficialManus PraserthdamOwner · (727) 894-1122
Enumeration DateJune 11, 2009
✔ NPI 1376770826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1201 5TH AVE N STE 208, St Petersburg, FL 33705
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Other Identifiers 6

Medicare UPIND57315FL
Medicaid62149FL
Other3106012FL · United Healthcare
Other0184828FL · Cigna
Other0666950FL · Aetna
Other212769FL · Amerigroup

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manus Praserthdam,m.D.,p.A's NPI number?

The NPI number for Manus Praserthdam,m.D.,p.A is 1376770826. It was assigned to this organization in the NPPES registry on June 11, 2009.

Where is Manus Praserthdam,m.D.,p.A located?

Manus Praserthdam,m.D.,p.A is located at 1201 5th Ave N Ste 208, St Petersburg, FL 33705. The listed phone number is (727) 894-1122.

What is Manus Praserthdam,m.D.,p.A's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Manus Praserthdam,m.D.,p.A was last updated on June 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.