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Individual

DR. VENU KARTHIK THIRUKONDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1514 VERNON RD, LAGRANGE, GA 30240
(706) 812-2426
(706) 845-2427
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 812-2426
(706) 845-2427

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
26128
MT
207RH0003X
Hematology & Oncology Physician
Primary
83398
GA

Other

Enumeration date
09/10/2007
Last updated
10/07/2019
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