Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | ME145936 | FL |
NPI | 1063936854 |
---|---|
Provider Name | Dr. Vighnesh Vetrivel Venkatasamy |
First Address | Miami, FL 33131-2506 |
Second Address | Miami, FL 33136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2017 |
Last Update Date | 22/09/2020 |