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Organization
KATHARIGUPPA VENKATARAM M.D. P.A.
Active
Organization
KATHARIGUPPA VENKATARAM M.D. P.A.
Active
Other names
Sunset Point Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHARIGUPPA VENKATARAM M.D (DIRECTOR)
(813) 949-4991
Entity
Organization
Contact information
Practice address
208 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(813) 949-4991
(813) 949-4986
Mailing address
208 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(813) 949-4991
(813) 949-4986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME73717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260523600
—
FL
Enumeration date
05/26/2011
Last updated
12/05/2011
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