Dharbhamulla, Venkata R

Dharbhamulla, Venkata R is an individual health care provider with primary practice located at 1322 Eisenhower Blvd , Johnstown PA 15904-3307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dharbhamulla, Venkata R can be contacted via phone (814) 536-8969.

Contact Information

Primary practice address
1322 Eisenhower Blvd Johnstown PA 15904-3307
Phone: (814) 536-8969
Fax: (814) 536-7180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD058564L Pennsylvania

Profile Details

NPI number 1033272513
LBN Legal business name Dharbhamulla, Venkata R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Aug 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033272513 NPPES
Pennsylvania MEDICAID 1007708200001
Pennsylvania MEDICAID 0016452420001

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