Talasila, Venkat

Talasila, Venkat is an sole proprietor health care provider with primary practice located at 2578 Mcleod Dr N Ste 1 , Saginaw MI 48604-2859. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Talasila, Venkat can be contacted via phone (989) 799-5440.

Contact Information

Primary practice address
2578 Mcleod Dr N Ste 1 Saginaw MI 48604-2859
Fax: (989) 799-5651
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301407245 Michigan
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 4301407245 Michigan

Profile Details

NPI number 1124029335
LBN Legal business name Talasila, Venkat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Jul 23rd, 2021 - about 5 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 1124029335 NPPES
Michigan MEDICAID 1942468459
Michigan MEDICAID 3117160

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