MEDICARE: DR. VENKATESH DHANANJAY HANDRATTA M.D.

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
1	2084P0800X	Psychiatry Physician	D0067188	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	D0067188	OTHER	MD	STATE LICENSE

General Provider Information

NPI Number	:	1427241926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VENKATESH DHANANJAY HANDRATTA M.D.

Provider Business Mailing Address
First Line	:	WALTER REED NATIONAL MILITARY MEDICAL CENTER
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-5630
Country	:	US
Telephone Number	:	301-400-1457
Fax Number	:	301-295-6720

Provider Business Practice Location Address
First Line	:	4954 N PALMER RD BLDG 19
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-5630
Country	:	US
Telephone Number	:	301-400-1457
Fax Number	:	301-295-6720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2007
Last Update Date	:	01/16/2026

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