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NPI Code Detail

MEDICARE: VENKATA SOMPALLI MD

MEDICARE: VENKATA SOMPALLI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianME53728FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104800879
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENKATA SOMPALLI MD
Provider Business Mailing Address
First Line : 1221 W LAKEVIEW AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-1857
Country : US
Telephone Number : 850-469-3500
Fax Number : 850-595-1400
Provider Business Practice Location Address
First Line : 305 CORDAY ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-2214
Country : US
Telephone Number : 850-908-2315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 02/10/2026

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Directions to “ VENKATA SOMPALLI MD” Practice Location

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