Individual
DR. DURAIRAJ VENKATASAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9633 W BROWARD BLVD, SUITE 5, PLANTATION, FL 33324-2332
(954) 474-4500
(954) 474-4559
Mailing address
9633 W BROWARD BLVD, SUITE 5, PLANTATION, FL 33324-2332
(954) 474-4500
(954) 474-4559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME80895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262025100
—
FL
Enumeration date
03/29/2006
Last updated
11/24/2010
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