Individual
PREETHI KIRAN VENEPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
407 W INDIANA AVE, CHESTERTON, IN 46304-2350
(219) 763-8112
(219) 764-5384
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 239-2170
(219) 270-3168
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01072539A
IN
208000000X
Pediatrics Physician
036.128154
IL
208000000X
Pediatrics Physician
A119131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201174280
—
IN
Enumeration date
07/02/2008
Last updated
12/12/2023
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