Provider Demographics
NPI:1740275239
Name:DCUNHA, PRAKAS THOMAS (MD)
Entity type:Individual
Prefix:MR
First Name:PRAKAS
Middle Name:THOMAS
Last Name:DCUNHA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14134 NEPHRON LN
Mailing Address - Street 2:RENAL HYPERTENSION CENTER
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667
Mailing Address - Country:US
Mailing Address - Phone:727-863-5418
Mailing Address - Fax:727-869-8626
Practice Address - Street 1:14134 NEPHRON LN
Practice Address - Street 2:RENAL HYPERTENSION CENTER
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667
Practice Address - Country:US
Practice Address - Phone:727-863-5418
Practice Address - Fax:727-869-8626
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME89756207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
04129OtherUNIVERSAL
3100636OtherUNITED HEALTH CARE
0007576217OtherAETNA
P00196281OtherMEDICARE RR
2283417OtherFIRST HEALTH
2283417OtherCCN
245342OtherWELLCARE
FL37952OtherBLUE CROSS BLUE SHEILD
7234992OtherCIGNA
1014OtherOPTIMUM
11012501OtherCITRUS HEALTH CARE
295281OtherAV MED
FL245342OtherWELLCARE
FL37952OtherBLUE CROSS BLUE SHEILD
11012501OtherCITRUS HEALTH CARE