MEDICARE: NISHA PRADEEP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	110518	GA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2084N0400X	Neurology Physician	OS16133	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831578392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NISHA PRADEEP

Provider Business Mailing Address
First Line	:	9960 NW 116TH WAY STE 13
Second Line	:
City	:	MEDLEY
State	:	FL
Zip	:	33178-1175
Country	:	US
Telephone Number	:	786-924-1311
Fax Number	:	786-924-1313

Provider Business Practice Location Address
First Line	:	2919 W SWANN AVE STE 401
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4083
Country	:	US
Telephone Number	:	813-872-1548
Fax Number	:	813-872-7509

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2015
Last Update Date	:	02/12/2026

Similar Medicare Providers

1124868260 — HOLLY HERZ
Practice Location Address:

2919 W SWANN AVE STE 402
TAMPA, FL
33609-4083

Practice Phone: 813-969-1681
Practice Fax:

1447269238 — JOHN CARTER MD
Practice Location Address:

2919 W SWANN AVE STE 402
TAMPA, FL
33609-4083

Practice Phone: 813-696-1681
Practice Fax: 813-696-1703

1558412528 — DR. LINGA VINAY REDDY M.D., PH. D.
Practice Location Address:

2919 W SWANN AVE STE 401
TAMPA, FL
33609-4083

Practice Phone: 813-872-1548
Practice Fax: 813-872-7509

1417583956 — WILLIAM F MCGROGAN MD PLLC
Practice Location Address:

2919 W SWANN AVE STE 402
TAMPA, FL
33609-4083

Practice Phone: 813-443-1426
Practice Fax:

1134018666 — CALEIGH ELISABETH HALL PT, DPT
Practice Location Address:

5401 W KENNEDY BLVD STE 100
TAMPA, FL
33609-2457

Practice Phone: 866-839-6979
Practice Fax:

1881646156 — DR. CHRISTOPHER B GEORGE M. D.
Practice Location Address:

4206 W SYLVAN RAMBLE ST
TAMPA, FL
33609-4314

Practice Phone: 813-334-5165
Practice Fax:

Directions to “ NISHA PRADEEP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.