Individual
MR. VENNISVASANTH LOURDUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WELLNESS WAY, MILFORD, DE 19963-4364
(302) 393-5006
(302) 422-3074
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C1-0026019
DE
Other
Enumeration date
06/08/2015
Last updated
08/02/2023
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