Individual
DR. VENKATESWARA RAO DIKKALA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2775 CRUSE RD, SUITE 1801, LAWRENCEVILLE, GA 30044-7140
(678) 380-9199
(908) 634-2861
Mailing address
2775 CRUSE RD, SUITE 1801, LAWRENCEVILLE, GA 30044-7140
(678) 380-9199
(908) 634-2861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
048226
GA
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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