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Individual

DR. RAMACHANDRAN VENKATESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 758-4225
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 758-4225

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0422301
KS
2084N0400X
Neurology Physician
Primary
0422301
KS
2084N0600X
Clinical Neurophysiology Physician
0422301
KS

Other

Enumeration date
07/17/2006
Last updated
07/12/2007
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