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Individual

ANITA BALEPUR VENKATARAMANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-5000
(775) 982-5496
Mailing address
1350 HICKORY ST, MELBOURNE, FL 32901-3278

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
41568
OK
2084N0400X
Neurology Physician
6071793
ID
2084N0400X
Neurology Physician
807
WI
2084N0400X
Neurology Physician
D63355
MD
2084N0400X
Neurology Physician
Primary
DR.0059580
CO
2084N0400X
Neurology Physician
ME152299
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528003191
MN
05
235588400
MD
05
281383100
FL
01
N7802
FL HF MEDICARE
FL
01
P00868056
RR MEDICARE
ND
Enumeration date
06/18/2006
Last updated
03/11/2026
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