Individual
DR. BHASKER VENUKONDA VENKATESWARALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1025 W OLYMPIC BLVD, LOS ANGELES, CA 90015-1329
(213) 861-5985
Mailing address
1741 AMHERST AVE, LOS ANGELES, CA 90025-3617
(310) 820-7805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A043925
CA
Other
Enumeration date
07/22/2006
Last updated
09/17/2013
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