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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356521843 NPPES
California MEDICAID 00A510710

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