Individual
DR. VENKATA EMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 E HARDING WAY STE D, STOCKTON, CA 95204-6118
(209) 944-5755
(209) 464-2684
Mailing address
415 E HARDING WAY STE D, STOCKTON, CA 95204-6118
(209) 944-5755
(209) 464-2684
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A80313
CA
207RI0011X
Interventional Cardiology Physician
Primary
A80313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A0803130
—
CA
01
—
P00004635
RAILROAD MEDICARE
CA
Enumeration date
10/19/2006
Last updated
10/13/2022
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