Provider Demographics
NPI:1609078203
Name:ASHVI INVESTMENTS INC
Entity Type:Organization
Organization Name:ASHVI INVESTMENTS INC
Other - Org Name:INTERNAL MEDICINE AT VIERA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VENU
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:LUTHRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-255-6033
Mailing Address - Street 1:1710 WUESTHOFF DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940
Mailing Address - Country:US
Mailing Address - Phone:321-255-6033
Mailing Address - Fax:321-255-6042
Practice Address - Street 1:1710 WUESTHOFF DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940
Practice Address - Country:US
Practice Address - Phone:321-255-6033
Practice Address - Fax:321-255-6042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80626207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2729Medicare ID - Type Unspecified
H25638Medicare UPIN