Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD471964 | PA |
NPI | 1164417879 |
---|---|
Provider Name | Dr. Akila Venkataraman |
First Address | Danville, PA 17822-4903 |
Second Address | Wilkes Barre, PA 18711-0027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 11/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001613-A15 | HEALTH FIRST (01) | NY |
0100559 | AMERICHOICE (01) | NY |
02350567 | (05) | NY |
1000028191 | AFFINITY HEALTH (01) | NY |
127400101 | HEALTH PLUS (01) | NY |
2196604 04 | UNITED HEALTHCARE (01) | NY |
2603656 | GHI (01) | NY |
2969639 | AETNA USHC HMO (01) | NY |
4C2294 | HEALTH NET (01) | NY |
501Z91 | EMPIRE BCBS (01) | NY |
7863378 | AETNA PPO (01) | NY |
H72712 | (02) | NY |
P2640917 | OXFORD HEALTH PLAN (01) | NY |