Nimmagadda, Venkat R

Nimmagadda, Venkat R is an individual health care provider with primary practice located at 207 Haven Dr , Dothan AL 36301-2919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Nimmagadda, Venkat R can be contacted via phone (334) 793-3319.

Contact Information

Primary practice address
207 Haven Dr Dothan AL 36301-2919
Fax: (334) 793-2291
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 27452 Alabama

Profile Details

NPI number 1043267917
LBN Legal business name Nimmagadda, Venkat R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Apr 14th, 2025 - about last year

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 1043267917 NPPES
Alabama Other 51538580 BCBS ALABAMA
Alabama Other 051557983 BCBS ALABAMA

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