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Individual

DR. VENKATA RATNAM POLAVARAPU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 VETERANS MEMORIAL DR., TEMPLE, TX 76504
(254) 421-8196
(254) 778-4546
Mailing address
8710 E CANYON CT, TEMPLE, TX 76502-4231
(254) 472-4720

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H1181
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114136802
TX
Enumeration date
12/07/2005
Last updated
12/05/2013
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