Palla, Venugopal Reddy

Palla, Venugopal Reddy is an individual health care provider with primary practice located at 8 Greenfield Road , Syosset NY 11791. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Palla, Venugopal Reddy can be contacted via phone (516) 496-7900.

Contact Information

Primary practice address
8 Greenfield Road Syosset NY 11791
Phone: (516) 496-7900
Fax: (516) 496-2139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2111291 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2111291 New York

Profile Details

NPI number 1104995075
LBN Legal business name Palla, Venugopal Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1104995075 NPPES
New York MEDICAID 02390807

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