Individual
DR. PADMAJA VENKATA SANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11161 RANDOLPH ST, CROWN POINT, IN 46307-8564
(219) 662-9424
(219) 622-7465
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01070466A
IN
207V00000X
Obstetrics & Gynecology Physician
036123780
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201074200
—
IN
05
—
2565399
—
OH
Enumeration date
08/17/2010
Last updated
09/09/2024
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