Individual
DR. VENKATA SANDEEP AKSHINTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1830 E MONUMENT ST, ROOM 436, BALTIMORE, MD 21287-0020
(410) 614-6708
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D91127
MD
207RG0100X
Gastroenterology Physician
Primary
D91127
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D91127
LICENSE
MD
Enumeration date
04/07/2014
Last updated
07/21/2021
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