National Provider Identifier Database

MANJUL D DERASARI
Interventional Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.


Contact Information

MANJUL D DERASARI
36763 EILAND BLVD STE 201
ZEPHYRHILLS, FL33542
Phone: 813-977-6688
Fax: 813-355-5060
Website:
Specialty Taxonomy Code
* Interventional Pain Medicine 208VP0014X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for MANJUL D DERASARI

NPI Number 1912969775
Credentials
Entity Individual
Enumeration date 04/05/2006
Last updated 06/17/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: ME0054111
  • FL License #: ME54111
  • FL Medicaid: 064751900
  • FL Other: 11609R MEDICARE PTAN
  • FL Other: 39715 MEDICARE PTAN GROUP
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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