Individual
ABHISHEK VENKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90089-1430
(323) 409-1000
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90089-1001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
08/01/2021
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