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DR. VICTOR THIAGARAJ SELVARAJ M.D. NPI 1356436901


NPI Information

NPI: 1356436901
Provider Name: DR. VICTOR THIAGARAJ SELVARAJ, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
549 NW KALE WHITNEY PLACE
SUITE 104-105
PORT ST. LUCIE, FL
ZIP 34986
Phone: (772) 621-9993
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DR. Victor Thiagaraj Selvaraj, M.D. is a family medicine in Port St. Lucie, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Victor Thiagaraj Selvaraj, M.D. NPI is 1356436901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

549 NW KALE WHITNEY PLACE
SUITE 104-105
PORT ST. LUCIE, FL
ZIP 34986
Phone: (772) 621-9993
Fax: (772) 621-9923

The enumeration date for this NPI number is 10/3/2006 and was last updated on 9/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME29947FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AC111ZMEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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