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VENUGOPAL KIRAN VASIREDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1955 MEMORIAL DR, DANVILLE, VA 24541-4712
(434) 799-2055
(434) 799-2044
Mailing address
1955 MEMORIAL DR, DANVILLE, VA 24541-4712
(434) 799-2055
(434) 799-2044

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101056050
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005807328
VA
01
282710
ANTHEM
VA
05
790583R
NC
Enumeration date
05/26/2006
Last updated
01/13/2012
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