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Individual

ANJU VENKATESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Mailing address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35076721
OH
208M00000X
Hospitalist Physician
35.076721
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3113160
OH
Enumeration date
09/20/2006
Last updated
01/29/2016
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