Healthcare Provider Details

I. General information

NPI: 1497727382
Provider Name (Legal Business Name): SATISH VENKATAPERUMAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4219 US HIGHWAY 19
NEW PORT RICHEY FL
34652-5906
US

IV. Provider business mailing address

5365 W ATLANTIC AVE SUITE 504
DELRAY BEACH FL
33484-8172
US

V. Phone/Fax

Practice location:
  • Phone: 727-939-2230
  • Fax: 727-847-5349
Mailing address:
  • Phone: 561-241-9300
  • Fax: 561-241-9339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME80382
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME 80382
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberME80382
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: