PRAVEEN VENIGALLA

PASQUOTANK RIVER INPATIENT SERVICES LLC

Dr PRAVEEN VENIGALLA is a male medical professional, specializing in Internal Medicine. He graduated in 2005.

Contact

PASQUOTANK RIVER INPATIENT SERVICES LLC

1144 N RD ST
ELIZABETH CITY
NC
279093473

Tel: 2523550531

PRAVEEN VENIGALLA Information

Npi 1528352598
Pac Id 6103125232
Professional Enrollment Id I20171110002536
Last Name VENIGALLA
First Name PRAVEEN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2005
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PASQUOTANK RIVER INPATIENT SERVICES LLC
Group Practice Pac Id 3779848775
Number Of Group Practice Members 36
Line 1 Street Address 1144 N RD ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ELIZABETH CITY
State NC
Zip Code 279093473
Phone Number 2523550531
Hospital Affiliation Ccn 1 340109
Hospital Affiliation Lbn 1 SENTARA ALBEMARLE MEDICAL CENTER
Hospital Affiliation Ccn 2 340142
Hospital Affiliation Lbn 2 CARTERET GENERAL HOSPITAL
Hospital Affiliation Ccn 3 490007
Hospital Affiliation Lbn 3 SENTARA NORFOLK GENERAL HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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