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Individual

DR. VENKATA SSN IYUNNI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6217 66TH ST, PINELLAS PARK, FL 33781-5025
(727) 546-1680
(727) 546-9746
Mailing address
6217 66TH STREET NORTH, PINELLAS PARK, FL 33781-5233
(727) 546-1680
(727) 548-0965

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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