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Individual
DR. ASHOK VENKAT
Active
Individual
DR. ASHOK VENKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2056
MA
213E00000X
Podiatrist
DPM00282
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019705
—
RI
05
—
0307203
—
MA
01
—
29014-6/409791
BLUE CROSS BLUE SHIELD
RI
01
—
480019705
MEDICARE RAILROAD
MA
01
—
Y71015
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/28/2006
Last updated
08/28/2012
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