Erella, Venkata S
Erella, Venkata S is an sole proprietor health care provider with primary practice located at 11851 Jollyville Rd Suite#104, Austin TX 78759. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Erella, Venkata S can be contacted via phone (512) 730-3885.Contact Information
Primary practice address
11851 Jollyville Rd Suite#104
Austin TX 78759
Phone: (512) 730-3885
Fax: (512) 730-3875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 01063531A | Indiana |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 01063531A | Indiana |
Profile Details
| NPI number | 1255380671 |
|---|---|
| LBN Legal business name | Erella, Venkata S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Sep 5th, 2014 - about 10 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 | 1255380671 | NPPES |
| Indiana | Other | 0000000525700 | ANTHEM BLUE SHIELD |
| Indiana | MEDICAID | 200863480 | ANTHEM BLUE SHIELD |
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