Individual
DR. VENKATA S DEVABHAKTUNI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 SIVLEY RD SW, STE 570, HUNTSVILLE, AL 35801-5102
(256) 265-6171
(256) 265-6174
Mailing address
201 SIVLEY RD SW, STE 570, HUNTSVILLE, AL 35801-5102
(256) 265-6171
(256) 265-6174
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00017335
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
51524072
AL
01
—
FED BCBS
051524047
AL
Enumeration date
06/06/2006
Last updated
06/13/2016
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