Individual
KUMAR VENKATACHALAM
Active
Individual
KUMAR VENKATACHALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01048257A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085025
ANTHEM BC/BS
IN
01
—
110168975
RAILROAD MEDICARE
IN
05
—
200180870A
—
IN
01
—
9115389
ANTHEM BC/BS
IL
Enumeration date
06/02/2005
Last updated
05/06/2020
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