Gourineni, Venu
Gourineni, Venu is an individual health care provider with primary practice located at 460 Northside Cherokee Blvd Ste 150 , Canton GA 30115-8018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gourineni, Venu can be contacted via phone (470) 639-6250.Contact Information
Primary practice address
460 Northside Cherokee Blvd Ste 150
Canton GA 30115-8018
Phone: (470) 639-6250
Fax: (770) 345-0712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | #4301094579 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT187681 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 100195 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301094579 | Michigan |
Profile Details
| NPI number | 1154473635 |
|---|---|
| LBN Legal business name | Gourineni, Venu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jun 27th, 2024 - about last year |
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 | 1154473635 | NPPES |
| Michigan | MEDICAID | 1154473635 |
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