Individual
VENKATA K MURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 4TH AVE NW, SLEEPY EYE, MN 56085-1109
(507) 794-3691
(507) 794-5950
Mailing address
400 4TH AVE NW, SLEEPY EYE, MN 56085-1109
(507) 794-3691
(507) 794-5950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20403
MN
208600000X
Surgery Physician
Primary
20403
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020052315
MEDICARE RAILROAD
—
01
—
114060
UCARE
—
01
—
1710218
MEDICA
—
05
—
470775300
—
MN
01
—
52665MU
MPIN
—
01
—
5888298
AETNA
—
01
—
MR9121013534
PREFERRED ONE
—
Enumeration date
03/16/2006
Last updated
10/13/2021
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