Individual
DR. AKILA VENKATARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
001613
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD471964
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001613-A15
HEALTH FIRST
NY
01
—
0100559
AMERICHOICE
NY
05
—
02350567
—
NY
01
—
1000028191
AFFINITY HEALTH
NY
01
—
127400101
HEALTH PLUS
NY
01
—
2196604 04
UNITED HEALTHCARE
NY
01
—
2603656
GHI
NY
01
—
2969639
AETNA USHC HMO
NY
01
—
4C2294
HEALTH NET
NY
01
—
501Z91
EMPIRE BCBS
NY
01
—
7863378
AETNA PPO
NY
01
—
P2640917
OXFORD HEALTH PLAN
NY
Enumeration date
09/19/2005
Last updated
02/11/2021
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