Sompalli, Venkata

Sompalli, Venkata is an individual health care provider with primary practice located at 1221 W Lakeview Ave , Pensacola FL 32501-1857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sompalli, Venkata can be contacted via phone (850) 469-3500.

Contact Information

Primary practice address
1221 W Lakeview Ave Pensacola FL 32501-1857
Fax: (850) 595-1400
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME53728 Florida

Profile Details

NPI number 1104800879
LBN Legal business name Sompalli, Venkata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Mar 1st, 2016 - about 9 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 1104800879 NPPES
Florida MEDICAID 039888800

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