Venkataraman, S

Venkataraman, S is an individual health care provider with primary practice located at 10458 S Pulaski Rd , Oak Lawn IL 60453-4933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Venkataraman, S can be contacted via phone (708) 636-1818.

Contact Information

Primary practice address
10458 S Pulaski Rd Oak Lawn IL 60453-4933
Fax: (708) 636-2151
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036067578 Illinois

Profile Details

NPI number 1154347748
LBN Legal business name Venkataraman, S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Dec 30th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154347748 NPPES
Illinois MEDICAID 036067578
Illinois Other 0031601474
Illinois Other 110023497

Popular Providers