Individual
DR. VENKATA KRISHNAM NAIDU KELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
700 STEWART AVE, GARDEN CITY, NY 11530-4721
(516) 663-1430
Mailing address
1650 SELWYN AVE, SUITE 4 A, BRONX, NY 10457-7626
(718) 960-1225
(718) 960-1370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
24924
WV
208600000X
Surgery Physician
Primary
60276366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WV1633A
WV MEDICARE PTAN
WV
Enumeration date
05/08/2008
Last updated
08/30/2022
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