Individual
VEN KOTTAPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, CNSP
Contact information
Practice address
512 N CABLE RD, LIMA, OH 45805-2133
(419) 228-2600
(419) 228-1100
Mailing address
512 N CABLE RD, LIMA, OH 45805-2133
(419) 228-2600
(419) 228-1100
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35078041
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000243040
ANTHEM
OH
05
—
2205278
—
OH
01
—
5539641
AETNA
OH
Enumeration date
05/03/2006
Last updated
11/25/2019
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