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NPI Code Detail

MEDICARE: LINDA PAULEEN VENEMAN MD

MEDICARE: LINDA PAULEEN VENEMAN 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
1207ZC0500XCytopathology PhysicianG33515CA
2207ZC0500XCytopathology Physician10252NV
3207ZP0102XAnatomic Pathology & Clinical Pathology Physician10252NV
4207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianG33515CA

General Provider Information

NPI Number : 1578579041
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA PAULEEN VENEMAN MD
Provider Business Mailing Address
First Line : 4301 NORTHSTAR WAY
Second Line :
City : MODESTO
State : CA
Zip : 95356-1913
Country : US
Telephone Number : 209-577-1200
Fax Number : 209-577-6517
Provider Business Practice Location Address
First Line : 2801 H ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-1913
Country : US
Telephone Number : 661-325-0744
Fax Number : 661-859-0230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 12/16/2021

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Directions to “ LINDA PAULEEN VENEMAN MD” Practice Location

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