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Individual

DR. VENKATA V JAKKAMPUDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 HOPE DR STE 1300, HERSHEY, PA 17033-2036
(717) 531-3828
(717) 531-4694
Mailing address
331 NEWMAN SPRINGS ROAD, BLDG. 2, SUITE 220, RED BANK, NJ 07701
(732) 807-0877
(201) 751-1680

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25IA12464800
NJ
2084N0400X
Neurology Physician
MDD0062282
MD
2084N0600X
Clinical Neurophysiology Physician
Primary
MD450360
PA
2084N0600X
Clinical Neurophysiology Physician
MDD0062282
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006822500
MD
01
MD450360
DEPARTMENT OF STATE
PA
Enumeration date
08/05/2006
Last updated
03/14/2025
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