Kakollu, Venkat Rao
Kakollu, Venkat Rao is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Kakollu, Venkat Rao can be contacted via phone (309) 655-3292.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61637-0001
Phone: (309) 655-3292
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036.135667 | Illinois |
Profile Details
NPI number | 1447681044 |
---|---|
LBN Legal business name | Kakollu, Venkat Rao |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2013 |
Last updated | Jun 4th, 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.
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