Kathariguppa Venkataram M.D. P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME73717 Issued in FL

Legal business name

KATHARIGUPPA VENKATARAM M.D. P.A.

Practice address

208 Crystal Grove Blvd
Lutz, FL 33548-6460

Phone

(813) 949-4991

Fax

(813) 949-4986

NPI assigned

May 26, 2011

Last updated

Dec 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kathariguppa Venkataram, M.D

Title

Director

Phone

(813) 949-4991

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunset Point Medical Center Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1053604827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CRYSTAL GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486460",
            "telephone_number": "813-949-4991",
            "fax_number": "813-949-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CRYSTAL GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486460",
            "telephone_number": "813-949-4991",
            "fax_number": "813-949-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHARIGUPPA VENKATARAM M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "VENKATARAM",
        "authorized_official_first_name": "KATHARIGUPPA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-949-4991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260523600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Point Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jerambhai T Kankotia, MD
• Eric Michael Kaplan, MD
• Zoe True Kaplan, PMHNP-BC
• Syeda Sarah Kareem, M.D
• Rumbidzai Melody Kashumba Odom
• Kathleen Barry Arnp LLC
• Donna Kato
• Moses Senteza Kawalya, DVM, DABVP
• Jonathan Patrick Keenan, M.D.
• Keeping Your Rose Timeless Home Care

• Internal Medicine Physician in Lutz, FL
• Providers in Lutz, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.