Organization
VEN HEALTHCARE COUNCIL BLUFFS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITHYALAKSHMI SELVARAJ MD (OWNER)
(712) 524-1888
Entity
Organization
Contact information
Practice address
29 S MAIN ST, COUNCIL BLUFFS, IA 51503-9070
(712) 524-1888
Mailing address
29 S MAIN ST, COUNCIL BLUFFS, IA 51503-9070
(712) 524-1888
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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