Provider Demographics
NPI:1841427945
Name:SUKHARAMWALA, PRASHANT B (MD)
Entity type:Individual
Prefix:DR
First Name:PRASHANT
Middle Name:B
Last Name:SUKHARAMWALA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4301 N HABANA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6546
Mailing Address - Country:US
Mailing Address - Phone:813-879-5010
Mailing Address - Fax:813-443-8148
Practice Address - Street 1:4301 N HABANA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6546
Practice Address - Country:US
Practice Address - Phone:813-879-5010
Practice Address - Fax:813-443-8148
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2022-08-03
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Provider Licenses
StateLicense IDTaxonomies
FLME116117208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery