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Individual

DR. VENKATA KRISHNAM NAIDU KELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

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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