MANUS PRASERTHDAMM.D.P.A NPI 1376770826

NPI Information

  • NPI: 1376770826
  • Provider Name: MANUS PRASERTHDAM,M.D.,P.A
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1201 5TH AVE N STE 208
    ST PETERSBURG, FL
    ZIP 33705
  • Phone: (727) 894-1122

Map and Directions

Get Directions

NPI Details

MANUS PRASERTHDAM,M.D.,P.A is a specialist in St Petersburg, FL. The provider is 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. MANUS PRASERTHDAM,M.D.,P.A NPI is 1376770826. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1201 5TH AVE N STE 208
ST PETERSBURG, FL
ZIP 33705-410
Phone: (727) 894-1122
Fax: (727) 894-0033

The provider's authorized official is Manus Praserthdam .
The authorized official title is Owner and has the following contact phone number (727) 894-1122.

The enumeration date for this NPI number is 6/11/2009 and was last updated on 6/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D57315MEDICARE UPINFLORIDA
262149MEDICAIDFLORIDA
33106012OTHERFLORIDAUNITED HEALTHCARE
40184828OTHERFLORIDACIGNA
50666950OTHERFLORIDAAETNA
6212769OTHERFLORIDAAMERIGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI