Devineni, Venkat
Devineni, Venkat is an sole proprietor health care provider with primary practice located at 17259 Jasmine St Suite B, Victorville CA 92395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Devineni, Venkat can be contacted via phone (760) 951-7778.Contact Information
Primary practice address
17259 Jasmine St Suite B
Victorville CA 92395
Phone: (760) 951-7778
Fax: (760) 241-5950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A54340 | California |
Profile Details
| NPI number | 1588650675 |
|---|---|
| LBN Legal business name | Devineni, Venkat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588650675 | NPPES |
| California | MEDICAID | 00454301 |
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