Goli, Venkateswara Rao
Goli, Venkateswara Rao is an sole proprietor health care provider with primary practice located at 200 Medical Center Dr Ste 3P, Hazard KY 41701-9478. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Goli, Venkateswara Rao can be contacted via phone (606) 439-3334.Contact Information
Primary practice address
200 Medical Center Dr Ste 3P
Hazard KY 41701-9478
Phone: (606) 439-3334
Fax: (606) 439-3334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 19722 | Kentucky |
Profile Details
| NPI number | 1326044264 |
|---|---|
| LBN Legal business name | Goli, Venkateswara Rao |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1326044264 | NPPES |
| Kentucky | MEDICAID | 64197221 |
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