Venkat, Kalyan R.
Venkat, Kalyan R. is an sole proprietor health care provider with primary practice located at 40 Hurley Ave Suite 17, Kingston NY 12401-3739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Venkat, Kalyan R. can be contacted via phone (845) 338-3212.Contact Information
Primary practice address
40 Hurley Ave Suite 17
Kingston NY 12401-3739
Phone: (845) 338-3212
Fax: (845) 339-0299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 136378-1 | New York |
Profile Details
| NPI number | 1730178377 |
|---|---|
| LBN Legal business name | Venkat, Kalyan R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1730178377 | NPPES |
| New York | MEDICAID | 00573331 |
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