Evani, Venkata
Evani, Venkata is an individual health care provider with primary practice located at 4250 E Camelback Rd Suite K200, Phoenix AZ 85018-8388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Evani, Venkata can be contacted via phone (602) 977-0136.Contact Information
Primary practice address
4250 E Camelback Rd Suite K200
Phoenix AZ 85018-8388
Phone: (602) 977-0136
Fax: (602) 977-0758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20688 | Arizona |
Profile Details
| NPI number | 1467411140 |
|---|---|
| LBN Legal business name | Evani, Venkata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Mar 8th, 2010 - about 14 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 | 1467411140 | NPPES |
| Arizona | MEDICAID | 103317 |
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