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NPI Code Detail

MEDICARE: A.VENKATESH,M.D.,INC

MEDICARE: A.VENKATESH,M.D.,INC
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
1207U00000XNuclear Medicine PhysicianA39371CA
2207RC0000XCardiovascular Disease PhysicianA34195CA

General Provider Information

NPI Number : 1710939822
Entity Type Code : Organization
Provider Name (Legal Business Name) : A.VENKATESH,M.D.,INC
Provider Business Mailing Address
First Line : 4521 SHERMAN OAKS AVE
Second Line : SUITE 1 B
City : SHERMAN OAKS
State : CA
Zip : 91403-3807
Country : US
Telephone Number : 818-784-8442
Fax Number : 818-784-8642
Provider Business Practice Location Address
First Line : 4521 SHERMAN OAKS AVE
Second Line : SUITE 1 B
City : SHERMAN OAKS
State : CA
Zip : 91403-3807
Country : US
Telephone Number : 818-784-8442
Fax Number : 818-784-8642
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALAGIRISWAMI VENKATESH
Credential : M.D.
Telephone Number : 818-784-8442
Provider Enumeration Date : 05/17/2006
Last Update Date : 10/19/2007

Similar Medicare Providers

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Directions to “A.VENKATESH,M.D.,INC ” Practice Location

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