Individual
VENU M. MADHIPATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Mailing address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
65559
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
065559
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
65559
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
65559
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104831A
—
GA
05
—
003104831N
—
GA
05
—
200973980
—
IN
05
—
7100117730
—
KY
Enumeration date
12/11/2006
Last updated
10/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us