Kathariguppa Venkataram M.d. P.a.

NPI #1053604827 in Lutz, Florida

Provider Information

NPI Number
1053604827
Entity Type
Organization
Organization Name
Kathariguppa Venkataram M.d. P.a.
Primary Specialty
Internal Medicine
Enumeration Date
May 26, 2011
Last Updated
Dec 5, 2011

Practice Location

Address
208 CRYSTAL GROVE BLVD
City
Lutz
State
Florida
ZIP Code
33548-6460
Phone
(813) 949-4991

Authorized Official

Name
DR. KATHARIGUPPA VENKATARAM, M.D
Title
DIRECTOR
Phone
(813) 949-4991

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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