Provider Demographics
NPI:1174626741
Name:PARIMI, DURGARAO VENKATA (MD)
Entity Type:Individual
Prefix:
First Name:DURGARAO
Middle Name:VENKATA
Last Name:PARIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10065 CORTEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-6389
Mailing Address - Country:US
Mailing Address - Phone:352-596-4660
Mailing Address - Fax:352-596-4674
Practice Address - Street 1:10065 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-6389
Practice Address - Country:US
Practice Address - Phone:352-596-4660
Practice Address - Fax:352-596-4674
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME31875207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
26055Medicare ID - Type Unspecified
D85401Medicare UPIN