Individual
PREMA VENKATESWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 872-7388
(513) 872-7385
Mailing address
2368 VICTORY PKDY, SUITE 501, CINCINNATI, OH 45206
(513) 872-7388
(513) 872-7385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-044850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442588
—
OH
05
—
64780521
—
KY
Enumeration date
07/31/2006
Last updated
07/08/2007
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