Individual
DR. RAMAKRISHNA VENNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 HUGHES RD, SUITE 2, MADISON, AL 35758-8999
(256) 772-0573
(256) 464-9578
Mailing address
540 HUGHES RD, SUITE 2, MADISON, AL 35758-8999
(256) 772-0573
(256) 464-9578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12946
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000017718
—
AL
01
—
51017718
BCBS OF ALABAMA
AL
Enumeration date
06/12/2006
Last updated
07/08/2007
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