Pulakanti, Venkata S.R.
Pulakanti, Venkata S.R. is an sole proprietor health care provider with primary practice located at 9190 Haven Ave Ste 102 , Rancho Cucamonga CA 91730-5431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pulakanti, Venkata S.R. can be contacted via phone (909) 296-7800.Contact Information
Primary practice address
9190 Haven Ave Ste 102
Rancho Cucamonga CA 91730-5431
Phone: (909) 296-7800
Fax: (909) 509-5511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A51071 | California |
Profile Details
| NPI number | 1356521843 |
|---|---|
| LBN Legal business name | Pulakanti, Venkata S.R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2007 |
| Last updated | Apr 6th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356521843 | NPPES |
| California | MEDICAID | 00A510710 |
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