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
Phone: (989) 799-5440
Fax: (989) 799-5651
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124029335 | NPPES |
| Michigan | MEDICAID | 1942468459 | |
| Michigan | MEDICAID | 3117160 |
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