Polavarapu, Venkata Ratnam

Polavarapu, Venkata Ratnam is an sole proprietor health care provider with primary practice located at 1901 Veterans Memorial Dr. , Temple TX 76504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Polavarapu, Venkata Ratnam can be contacted via phone (254) 421-8196.

Contact Information

Primary practice address
1901 Veterans Memorial Dr. Temple TX 76504
Fax: (254) 778-4546
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X H1181 Texas

Profile Details

NPI number 1902881568
LBN Legal business name Polavarapu, Venkata Ratnam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Dec 5th, 2013 - about 11 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 1902881568 NPPES
Texas MEDICAID 114136802

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