Individual
DR. VENKATESWARA RAO GOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL CENTER DR, STE 3P, HAZARD, KY 41701-9478
(606) 439-3334
(606) 439-3334
Mailing address
200 MEDICAL CENTER DR, STE 3P, HAZARD, KY 41701-9478
(606) 439-3334
(606) 439-3334
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19722
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64197221
—
KY
Enumeration date
06/24/2005
Last updated
07/09/2007
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