Healthcare Provider Details

I. General information

NPI: 1407436140
Provider Name (Legal Business Name): STEVEN HARESH PERSAUD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4113 LITTLE RD STE 101
NEW PORT RICHEY FL
34655-1716
US

IV. Provider business mailing address

7421 RIDGE RD STE 105
PORT RICHEY FL
34668-6935
US

V. Phone/Fax

Practice location:
  • Phone: 727-376-3725
  • Fax: 727-306-8052
Mailing address:
  • Phone: 727-888-9289
  • Fax: 727-306-8052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberTN33817
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: