Individual
DR. VENKATA SSN IYUNNI
Active
Individual
DR. VENKATA SSN IYUNNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0047362
FL
207RG0100X
Gastroenterology Physician
Primary
ME47362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065241500
—
FL
01
—
110020799
RAILROAD MCR
—
Enumeration date
07/08/2006
Last updated
06/16/2017
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