Jakkampudi, Venkata V
Jakkampudi, Venkata V is an individual health care provider with primary practice located at 30 Hope Dr Ste 1300 , Hershey PA 17033-2036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Jakkampudi, Venkata V can be contacted via phone (717) 531-3828.Contact Information
Primary practice address
30 Hope Dr Ste 1300
Hershey PA 17033-2036
Phone: (717) 531-3828
Fax: (717) 531-4694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | MDD0062282 | Maryland |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MDD0062282 | Maryland |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | MD450360 | Pennsylvania |
Profile Details
| NPI number | 1396754701 |
|---|---|
| LBN Legal business name | Jakkampudi, Venkata V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Nov 7th, 2018 - about 6 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 | 1396754701 | NPPES |
| Pennsylvania | Other | MD450360 | DEPARTMENT OF STATE |
| Pennsylvania | MEDICAID | 006822500 | DEPARTMENT OF STATE |
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