Udayagiri, Venkata

Udayagiri, Venkata is an individual health care provider with primary practice located at 333 N Green Bay Rd , Neenah WI 54956. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Udayagiri, Venkata can be contacted via phone (920) 729-6088.

Contact Information

Primary practice address
333 N Green Bay Rd Neenah WI 54956
Phone: (920) 729-6088
Fax: (920) 729-6484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301109854 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 71496 Wisconsin

Profile Details

NPI number 1992250336
LBN Legal business name Udayagiri, Venkata
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2016
Last updated Sep 30th, 2019 - about 7 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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