Individual
VENKATA AKHIL VALLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2000
Mailing address
12443 N 28TH DR APT L31, PHOENIX, AZ 85029-2481
(706) 814-0966
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
15822
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R81243
AZ
Other
Enumeration date
09/29/2023
Last updated
10/16/2024
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