Healthcare Provider Details

I. General information

NPI: 1043201700
Provider Name (Legal Business Name): VENKATESWARA CHOWDRY PINNAMANENI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: V CHOWDRY PINNAMANENI

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14508 ARNETT DR
CARMEL IN
46033-9852
US

IV. Provider business mailing address

14508 ARNETT DR
CARMEL IN
46033-9852
US

V. Phone/Fax

Practice location:
  • Phone: 317-333-9960
  • Fax:
Mailing address:
  • Phone: 317-333-9960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01056444
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number01056444A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: