Individual
DR. VENKAT REDDY MANGUNTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 S CEDAR CREST BLVD FL 2, ALLENTOWN, PA 18103-6202
(610) 402-6164
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036171924
IL
207L00000X
Anesthesiology Physician
2017030006
MO
207L00000X
Anesthesiology Physician
MD480482
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
0101244048
VA
Other
Enumeration date
07/18/2007
Last updated
01/16/2025
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