Individual
SATISH VENKATAPERUMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4219 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-5906
(727) 939-2230
(727) 847-5349
Mailing address
5365 W ATLANTIC AVE, SUITE 504, DELRAY BEACH, FL 33484-8172
(561) 241-9300
(561) 241-9339
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 80382
FL
208VP0000X
Pain Medicine Physician
ME80382
FL
208VP0014X
Interventional Pain Medicine Physician
ME80382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16063
BLUE CROSS INDIVIDUAL NUMBER
FL
01
—
16063T
MEDICARE 34259
FL
01
—
16063U
MEDICARE PTAN 34259A
FL
05
—
272482100
—
FL
Enumeration date
02/03/2006
Last updated
04/03/2024
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