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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255380671 NPPES
Indiana Other 0000000525700 ANTHEM BLUE SHIELD
Indiana MEDICAID 200863480 ANTHEM BLUE SHIELD

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