Individual
VENKATA AMILINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
Mailing address
PO BOX 2898, ABILENE, TX 79604-2898
(325) 677-2201
(325) 677-7641
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
91412
SC
2085R0202X
Diagnostic Radiology Physician
L4218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152276501
—
TX
Enumeration date
11/08/2005
Last updated
02/07/2024
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