Rathinasamy, Palanisamy

Rathinasamy, Palanisamy is an individual health care provider with primary practice located at 205 S.Moon Ave, Suite 102 , Brandon FL 33511-5716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rathinasamy, Palanisamy can be contacted via phone (813) 681-4644.

Contact Information

Primary practice address
205 S.Moon Ave, Suite 102 Brandon FL 33511-5716
Phone: (813) 681-4644
Fax: (813) 654-4486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0046555 Florida

Profile Details

NPI number 1952487787
LBN Legal business name Rathinasamy, Palanisamy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Oct 7th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952487787 NPPES
Other 01110 UNIVERSAL
Other 204455 UNIVERSAL
Other 30840 UNIVERSAL
MEDICAID 040231100 UNIVERSAL
Other 020006402 UNIVERSAL
Other 5796381 UNIVERSAL
Other 205115 UNIVERSAL
Other 4111547 UNIVERSAL
Other 0571459001 UNIVERSAL

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