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Individual

MR. VENUGOPAL KOMAKULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
7798 DISCOVERY DR, WEST CHESTER, OH 45069-7745
(513) 475-7500
(513) 475-7501
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 245-3072
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
MD176686
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
35139972
OH

Other

Enumeration date
05/15/2012
Last updated
05/04/2021
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