Individual
DR. ASHOK VENKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(339) 686-2561
Mailing address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2056
MA
213E00000X
Podiatrist
DPM00282
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019705
—
RI
05
—
0307203
—
MA
01
—
29014-6/409791
BLUE CROSS BLUE SHIELD
RI
01
—
480019705
MEDICARE RAILROAD
MA
01
—
Y71015
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/28/2006
Last updated
08/28/2012
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