Tenneti Venkata, Pavan Kumar

Tenneti Venkata, Pavan Kumar is an individual health care provider with primary practice located at 13041 N Del Webb Blvd Suite 200, Sun City AZ 85351. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Tenneti Venkata, Pavan Kumar can be contacted via phone (480) 256-6444.

Contact Information

Primary practice address
13041 N Del Webb Blvd Suite 200 Sun City AZ 85351
Phone: (480) 256-6444
Fax: (623) 285-2801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2019-00568 North Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME156097 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 49297 Arizona

Profile Details

NPI number 1578851572
LBN Legal business name Tenneti Venkata, Pavan Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2011
Last updated Sep 13th, 2023 - about 3 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 1578851572 NPPES
Florida MEDICAID 114898300
Florida Other GIVED
Florida Other PK944

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