Individual
DR. PRAVEEN VENKATACHALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 746-7400
(330) 746-7436
Mailing address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 746-7400
(330) 746-7436
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35.140519
OH
2084V0102X
Vascular Neurology Physician
35.140519
OH
Other
Enumeration date
08/15/2014
Last updated
09/24/2020
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