Individual
THILAGAVATHI VENKATACHALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 NW 9TH AVE, MIAMI, FL 33136-1101
(305) 355-5000
(305) 355-5235
Mailing address
1801 NW 9TH AVE, MIAMI, FL 33136-1101
(305) 355-5000
(305) 355-5235
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
170785
FL
207RN0300X
Nephrology Physician
69779
AZ
207RN0300X
Nephrology Physician
FELMD2021-059
NM
207RN0300X
Nephrology Physician
R9160
TX
Other
Enumeration date
09/10/2007
Last updated
10/22/2024
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