Yerramilli, Venkata R.

Yerramilli, Venkata R. is an individual health care provider with primary practice located at 3302 Bonita Beach Rd Ste 170 , Bonita Springs FL 34134-4217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yerramilli, Venkata R. can be contacted via phone (239) 624-1050.

Contact Information

Primary practice address
3302 Bonita Beach Rd Ste 170 Bonita Springs FL 34134-4217
Phone: (239) 624-1050
Fax: (239) 624-1051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME109954 Florida

Profile Details

NPI number 1346203775
LBN Legal business name Yerramilli, Venkata R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 21st, 2022 - about 4 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 1346203775 NPPES
Florida Other 14CR6 BCBS
Florida Other EZ010X BCBS
Florida MEDICAID 003569500 BCBS

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