| Durairaj Venkatasamy Md Pa | |
|
9633 W Broward Blvd Suite 5 Plantation FL 33324-2332 | |
| (954) 474-4500 | |
| (954) 474-4559 |
| Full Name | Durairaj Venkatasamy Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9633 W Broward Blvd, Plantation, Florida |
| Authorized Official Name and Position | Durairaj Venkatasamy (PRESIDENT) |
| Authorized Official Contact | 9544744500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Durairaj Venkatasamy Md Pa 9633 W Broward Blvd Suite 5 Plantation FL 33324-2332 Ph: (954) 474-4500 | Durairaj Venkatasamy Md Pa 9633 W Broward Blvd Suite 5 Plantation FL 33324-2332 Ph: (954) 474-4500 |
| NPI Number | 1982664348 |
|---|---|
| Provider Enumeration Date | 03/27/2006 |
| Last Update Date | 11/24/2010 |
| Medicare PECOS PAC ID | 9739128786 |
|---|---|
| Medicare Enrollment ID | O20050428000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982664348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME80895 (Florida) | Primary |
| Provider Name | Durairaj Venkatasamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619938719 PECOS PAC ID: 2466491428 Enrollment ID: I20050429000103 |
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