| Internal Medicine At Viera | |
|
1710 Wuesthoff Dr Melbourne FL 32940 | |
| (321) 255-6033 | |
| (321) 255-6042 |
| Full Name | Internal Medicine At Viera |
|---|---|
| Speciality | Internal Medicine |
| Location | 1710 Wuesthoff Dr, Melbourne, Florida |
| Authorized Official Name and Position | Venu Kumar Luthra (PHYSICIAN OWNER) |
| Authorized Official Contact | 3212556033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine At Viera 1710 Wuesthoff Dr Melbourne FL 32940 Ph: (321) 255-6033 | Internal Medicine At Viera 1710 Wuesthoff Dr Melbourne FL 32940 Ph: (321) 255-6033 |
| NPI Number | 1609078203 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 06/29/2010 |
| Medicare PECOS PAC ID | 5092847814 |
|---|---|
| Medicare Enrollment ID | O20100714000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609078203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME80626 (Florida) | Primary |
| Provider Name | Venu K Luthra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932202546 PECOS PAC ID: 3072645894 Enrollment ID: I20100714000718 |
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