Iyunni, Venkata Ssn

Iyunni, Venkata Ssn is an sole proprietor health care provider with primary practice located at 6217 66Th St , Pinellas Park FL 33781-5025. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Iyunni, Venkata Ssn can be contacted via phone (727) 546-1680.

Contact Information

Primary practice address
6217 66Th St Pinellas Park FL 33781-5025
Fax: (727) 546-9746
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0047362 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME47362 Florida

Profile Details

NPI number 1588697080
LBN Legal business name Iyunni, Venkata Ssn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated Jun 16th, 2017 - about 7 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 1588697080 NPPES
Other 110020799 RAILROAD MCR
MEDICAID 065241500 RAILROAD MCR

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