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NPI Code Detail

MEDICARE: SRIRAM VENIGALLA MD

MEDICARE:   SRIRAM  VENIGALLA  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
12085R0001XRadiation Oncology PhysicianMD459020PA

General Provider Information

NPI Number : 1528478724
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRIRAM VENIGALLA MD
Provider Business Mailing Address
First Line : 2102 HARRISBURG PIKE
Second Line :
City : LANCASTER
State : PA
Zip : 17601-2644
Country : US
Telephone Number : 717-544-3113
Fax Number : 717-544-3111
Provider Business Practice Location Address
First Line : 2102 HARRISBURG PIKE
Second Line :
City : LANCASTER
State : PA
Zip : 17601-2644
Country : US
Telephone Number : 717-544-3113
Fax Number : 717-544-3111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2014
Last Update Date : 02/12/2026

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Directions to “ SRIRAM VENIGALLA MD” Practice Location

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