Individual
VENKATRAMAN THULASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1417 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-5210
Mailing address
1417 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-5210
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
MD485414
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01251990
RUTGERS-NJMS
NJ
Enumeration date
08/05/2021
Last updated
08/30/2024
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