Provider Demographics
NPI:1518156959
Name:PARSA, VENKATA KRISHNA JAYANTH (MD)
Entity type:Individual
Prefix:
First Name:VENKATA
Middle Name:KRISHNA JAYANTH
Last Name:PARSA
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Gender:
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 749495
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-9495
Mailing Address - Country:US
Mailing Address - Phone:855-963-2100
Mailing Address - Fax:813-321-1296
Practice Address - Street 1:14543 GLOBAL PKWY STE 1102ND
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-7225
Practice Address - Country:US
Practice Address - Phone:239-264-7026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2025-04-16
Deactivation Date:
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Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME137254207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101481800Medicaid