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Individual
DR. VANI VENKATACHALAM
Active
Individual
DR. VANI VENKATACHALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, FAAP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q5116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101254197
LICENSE
VA
05
—
1518550474
—
TX
01
—
Q5116
LICENSE
TX
Enumeration date
07/31/2010
Last updated
02/24/2022
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