NISHA PRADEEP (NPI# 1831578392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831578392 |
| Entity Type | Individual |
| Full Name | NISHA PRADEEP |
| Practice Address |
200 3rd Ave W Ste 110 Bradenton FL 34205-8628 |
| Mailing Address |
367 S. Gulph Rd Attn: Ipm Credentialing King of Prussia PA 19406-3121 |
| Practice Telephone | 9417463115 |
| Practice Fax Number | 9417463201 |
| Mailing Telephone | 9417463115 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
OS16133 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 W Grand Ave, Medical Education Department, Dayton, OH 454054720 | 9377233245 | 9377235016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023455995 | Nisha Pradeep | Nurse Practitioner | 8268 164th St, Room# 332, Jamaica, NY 11432-1121 | 2013-05-31 |
| Street Address |
200 3RD AVE W STE 110 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427009521 | Vivian C Faircloth | Psychiatry & Neurology | 200 3rd Ave W Ste 110, Bradenton, FL 34205-8628 | 2006-05-13 |
| 1679900062 | Birenkumar R Patel | Psychiatry & Neurology | 200 3rd Ave W Ste 110, Bradenton, FL 34205-8628 | 2013-10-01 |
| 1043373988 | Ralph F Gonzalez | Psychiatry & Neurology | 200 3rd Ave W Ste 110, Bradenton, FL 34205-8628 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740528132 | Frank Loh Md Pa | Psychiatry & Neurology | 5857 21st Ave W, Suite B, Bradenton, FL 34209-5641 | 2013-01-21 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1447268131 | Jamie R. Smolen, Md LLC | Psychiatry & Neurology | 3809 State Road 64 East, Bradenton, FL 34208 | 2006-08-04 |
| 1003851791 | Orlando Maldonado, Md, Pa | Psychiatry & Neurology | 407 6th Ave E, Bradenton, FL 34208-1927 | 2006-06-18 |
| 1205877206 | Steven Allen Norris | Psychiatry & Neurology | 3978 E State Road 64, Bradenton, FL 34208-9059 | 2006-06-09 |
| 1427009521 | Vivian C Faircloth | Psychiatry & Neurology | 200 3rd Ave W Ste 110, Bradenton, FL 34205-8628 | 2006-05-13 |
| 1295783967 | Bradenton Neurology Inc | Psychiatry & Neurology | 3930 8th Ave W, Bradenton, FL 34205-1702 | 2006-05-05 |
| 1508851718 | Sanjay Yathiraj | Psychiatry & Neurology | 2902 59th St W Ste D, Bradenton, FL 34209-7021 | 2005-09-14 |
| 1508418153 | Francisco Tellechea Rotta | Psychiatry & Neurology | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 2019-07-14 |
| 1922510379 | Palma Sola Neurology Associates | Psychiatry & Neurology | 2902 59th St W Ste D, Bradenton, FL 34209-7021 | 2017-10-25 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.