Venkatesan, Emmanuel A

Venkatesan, Emmanuel A is an individual health care provider with primary practice located at 114 N Taylor Ave , Saint Louis MO 63108-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Venkatesan, Emmanuel A can be contacted via phone (314) 534-8600.

Contact Information

Primary practice address
114 N Taylor Ave Saint Louis MO 63108-2102
Phone: (314) 534-8600
Fax: (314) 652-8138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 105561 Missouri

Profile Details

NPI number 1730185745
LBN Legal business name Venkatesan, Emmanuel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated May 9th, 2024 - about 2 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 1730185745 NPPES
Missouri MEDICAID 208892851

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