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Individual

DR. RAM MOHAN RAO VENEPALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 768-4412
Mailing address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 768-4412

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD17919
ME
208M00000X
Hospitalist Physician
MD2014-0612
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033368113
ME
Enumeration date
09/15/2008
Last updated
09/10/2024
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