Madhipatla, Venu M.

Madhipatla, Venu M. is an individual health care provider with primary practice located at 715 Queen City Pkwy Ste 106 , Gainesville GA 30501-4335. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Madhipatla, Venu M. can be contacted via phone (678) 450-1222.

Contact Information

Primary practice address
715 Queen City Pkwy Ste 106 Gainesville GA 30501-4335
Phone: (678) 450-1222
Fax: (706) 279-2679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 002716 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 65559 Georgia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 65559 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 01067687A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 065559 Georgia

Profile Details

NPI number 1578623278
LBN Legal business name Madhipatla, Venu M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2021 - about 3 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 1578623278 NPPES
Indiana MEDICAID 200973980
Indiana MEDICAID 7100117730
Indiana MEDICAID 003104831N
Indiana MEDICAID 003104831A

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