Emani, Venkata
Emani, Venkata is an individual health care provider with primary practice located at 415 E Harding Way Ste D , Stockton CA 95204-6118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Emani, Venkata can be contacted via phone (209) 944-5755.Contact Information
Primary practice address
415 E Harding Way Ste D
Stockton CA 95204-6118
Phone: (209) 944-5755
Fax: (209) 464-2684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A80313 | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | A80313 | California |
Profile Details
| NPI number | 1184706343 |
|---|---|
| LBN Legal business name | Emani, Venkata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Oct 13th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184706343 | NPPES |
| California | MEDICAID | 00A0803130 | |
| California | Other | P00004635 |
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