Venkataraman, Akila
Venkataraman, Akila is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711-0027. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Venkataraman, Akila can be contacted via phone (570) 808-7300.Contact Information
Primary practice address
1000 E Mountain Blvd
Wilkes Barre PA 18711-0027
Phone: (570) 808-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 001613 | New York |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | MD471964 | Pennsylvania |
Profile Details
| NPI number | 1164417879 |
|---|---|
| LBN Legal business name | Venkataraman, Akila |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Feb 11th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164417879 | NPPES |
| New York | MEDICAID | 02350567 | |
| New York | Other | 2603656 | |
| New York | Other | 0100559 | |
| New York | Other | 2196604 04 | |
| New York | Other | 7863378 | |
| New York | Other | P2640917 | |
| New York | Other | 127400101 | |
| New York | Other | 001613-A15 | |
| New York | Other | 501Z91 | |
| New York | Other | 1000028191 | |
| New York | Other | 2969639 | |
| New York | Other | 4C2294 |
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