Emani, Venkata

Emani, Venkata is an individual health care provider with primary practice located at 415 E Harding Way Ste D , Stockton CA 95204-6118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Emani, Venkata can be contacted via phone (209) 944-5755.

Contact Information

Primary practice address
415 E Harding Way Ste D Stockton CA 95204-6118
Phone: (209) 944-5755
Fax: (209) 464-2684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A80313 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A80313 California

Profile Details

NPI number 1184706343
LBN Legal business name Emani, Venkata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Oct 13th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184706343 NPPES
California MEDICAID 00A0803130
California Other P00004635

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