Individual
VENKATA SUNDARA CHAKRAPANI ADAVIKOLANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 RIVERSIDE DR STE 200, GREEN BAY, WI 54301-2300
(920) 433-9920
(920) 433-9927
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
77296-20
WI
Other
Enumeration date
07/25/2013
Last updated
07/18/2023
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