Diabetes Virtual Clinic LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

DIABETES VIRTUAL CLINIC LLC

Practice address

4903 W Bay Way Dr
Tampa, FL 33629-4803

Phone

(727) 345-5222

Fax

(727) 345-4066

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Ajay Varanasi, M.D.NPI 1104982420

Title

President

Phone

(727) 269-5618

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ajay Varanasi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • St Petersburg, FL
  • NPI 1104982420
  NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1952184368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 W BAY WAY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294803",
            "telephone_number": "727-345-5222",
            "fax_number": "727-345-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 W BAY WAY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294803",
            "telephone_number": "727-345-5222",
            "fax_number": "727-345-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4903 W Bay Way Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336294803",
            "country_code": "US",
            "telephone_number": "727-345-5222",
            "fax_number": "727-345-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIABETES VIRTUAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "VARANASI",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-269-5618",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaseen Dhemesh, MD
• Jasreman Dhillon, MD
• Renzo Giuseppe Di Natale, MD, MSC
• Wael Diab
• Diabetes & Hormonal Diseases Center PLC
• Daniel Diaco, M.D.
• Diagnostic Center of Tampa
• Daniela Diago Valladares
• Tammi Marie Dial, PTA
• Mark Dials, LPN

• Endocrinology, Diabetes & Metabolism Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.