Venkatasamy, Durairaj

Venkatasamy, Durairaj is an sole proprietor health care provider with primary practice located at 9633 W Broward Blvd Suite 5, Plantation FL 33324-2332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Venkatasamy, Durairaj can be contacted via phone (954) 474-4500.

Contact Information

Primary practice address
9633 W Broward Blvd Suite 5 Plantation FL 33324-2332
Phone: (954) 474-4500
Fax: (954) 474-4559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME80895 Florida

Profile Details

NPI number 1619938719
LBN Legal business name Venkatasamy, Durairaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Nov 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619938719 NPPES
Florida MEDICAID 262025100

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