Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 14012 | OK |
NPI | 1033146550 |
---|---|
Provider Name | Dr. T V Venkataraman |
First Address | Oklahoma City, OK 73106 |
Second Address | Oklahoma City, OK 73106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 08/07/2007 |