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General NPI Number Information
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NPI Number | 1528478724
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Entity Type | Individual
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Provider Name | SRIRAM VENIGALLA MD
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Gender | Male
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 2102 HARRISBURG PIKE
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City | LANCASTER
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State | PA
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Zip | 17601-2644
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Country | US
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Telephone | 717-544-3113
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Fax | 717-544-3111
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Provider Business Mailing Address
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Address Line | 2102 HARRISBURG PIKE
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City | LANCASTER
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State | PA
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Zip | 17601-2644
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Country | US
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Telephone | 717-544-3113
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Fax | 717-544-3111
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD459020
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License Number State | PA
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