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Individual

CARMELO V VENERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1940 ALCOA HWY, SUITE E 310, KNOXVILLE, TN 37920-2244
(865) 544-2800
Mailing address
1940 ALCOA HWY, SUITE E 310, KNOXVILLE, TN 37920-2244
(865) 544-2800

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
039041
CT
207RC0000X
Cardiovascular Disease Physician
43974
TN
207RI0011X
Interventional Cardiology Physician
Primary
43974
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001390418
CT
01
1031064216
MEDICARE PTAN
TN
Enumeration date
06/18/2006
Last updated
11/14/2016
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