Maddikunta, Rajesh Venkat

Maddikunta, Rajesh Venkat is an individual health care provider with primary practice located at 3802 Oakwood Mall Dr , Eau Claire WI 54701-3016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Maddikunta, Rajesh Venkat can be contacted via phone (715) 839-9280.

Contact Information

Primary practice address
3802 Oakwood Mall Dr Eau Claire WI 54701-3016
Phone: (715) 839-9280
Fax: (715) 831-0052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 43822-020 Wisconsin

Profile Details

NPI number 1588840482
LBN Legal business name Maddikunta, Rajesh Venkat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2008
Last updated Mar 11th, 2022 - about 2 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 1588840482 NPPES
Other 001520265 MEDICARE PROVIDER TRANSACTION ACCESS NUMBER( INDIVIDUAL PTAN)
Other 029200103 MEDICARE PROVIDER TRANSACTION ACCESS NUMBER( INDIVIDUAL PTAN)
MEDICAID 34286000 MEDICARE PROVIDER TRANSACTION ACCESS NUMBER( INDIVIDUAL PTAN)

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