Individual
DR. SHAKTHI JAYANTHY VENKATACHALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8610
(352) 273-8612
Mailing address
51 LACKEY ST, WESTBOROUGH, MA 01581-3207
(267) 206-7073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
295167
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127045100
—
FL
Enumeration date
09/06/2022
Last updated
09/09/2025
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