Individual
VENKATA VINEETH VADDAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(507) 778-6419
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34311
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
03/31/2025
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