Individual
KARTHIKEYAN VENKATACHALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
102 RIVERVIEW DR STE A, FLOWOOD, MS 39232-8908
(601) 981-1610
(601) 366-2887
Mailing address
102 RIVERVIEW DR STE A, FLOWOOD, MS 39232-8908
(601) 981-1610
(601) 366-2887
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
30294
MS
207RN0300X
Nephrology Physician
Primary
30294
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30294
STATE LICENSE
MS
Enumeration date
07/09/2012
Last updated
06/16/2025
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