# DR. VENKAT REDDY MANGUNTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598964603
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036171924 | IL | Yes |
| 207L00000X | Anesthesiology Physician | 2017030006 | MO | — |
| 207L00000X | Anesthesiology Physician | MD480482 | PA | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 0101244048 | VA | — |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 01/16/2025