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Individual

DR. NANDA VENU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-2319
(206) 341-1405
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-2319
(206) 341-1405

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036118248
IL
207RG0100X
Gastroenterology Physician
54610
WI
207RG0100X
Gastroenterology Physician
Primary
MD60385630
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013135912
WI
Enumeration date
04/23/2007
Last updated
03/12/2015
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