Organization
VENKAT TALASILA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKAT TALASILA MD (PSYCHIATRIST)
(989) 893-3212
Entity
Organization
Contact information
Practice address
200 S WENONA ST, STE G29, BAY CITY, MI 48706-8820
(989) 893-3212
(989) 893-0461
Mailing address
200 S WENONA ST, STE G29, BAY CITY, MI 48706-8820
(989) 893-3212
(989) 893-0461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4301407245
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103117160
—
MI
01
—
2600731330
BC
MI
Enumeration date
05/30/2008
Last updated
05/30/2008
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