Kanchustambham, Venkat Kiran

Kanchustambham, Venkat Kiran is an individual health care provider with primary practice located at 801, Broadway N , Fargo ND 58102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kanchustambham, Venkat Kiran can be contacted via phone (701) 234-2000.

Contact Information

Primary practice address
801, Broadway N Fargo ND 58102
Phone: (701) 234-2000
Fax: (701) 234-2345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 14482 North Dakota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1851602999
LBN Legal business name Kanchustambham, Venkat Kiran
Credentials M/D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated Jul 21st, 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.

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