Individual
DR. VENKATESWARLU G MUVVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2943 ALLEGRA WAY, LUTZ, FL 33559-6998
(813) 922-1525
Mailing address
2943 ALLEGRA WAY, LUTZ, FL 33559-6998
(813) 934-2953
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME153422
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD444680
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102734537
—
PA
Enumeration date
11/12/2007
Last updated
01/13/2025
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