Venkata Surya Phani Bhushan Durvasula M.D.

NPI 1770861478 - Otolaryngology - 207Y00000X

NPI Details
NPI 1770861478
Gender Male
Enumeration Date 07/28/2011
Last Updated 06/25/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
4301 W MARKHAM ST # 543
DEPARTMENT OF OTOLARYNGOLOGY
LITTLE ROCK AR, 72205-7101, US
Phone (501) 686-5140
Fax (501) 686-5878
Business Location
4301 W MARKHAM ST # 543
DEPARTMENT OF OTOLARYNGOLOGY
LITTLE ROCK AR, 72205-7101, US
Phone (501) 686-5140
Fax (501) 686-5878
Toxanomy
Taxonomy Code 207Y00000X
License State Arkansas
License Number E-7645
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According to our database, Dr. Venkata Surya Phani Bhushan Durvasula M.D. NPI is 1770861478, taxonomy code is 207Y00000X and license number is E-7645, license state is located at Arkansas. Venkata Surya Phani Bhushan Durvasula M.D. physically located at 4301 W Markham St # 543, Little Rock AR, 72205-7101. NPI Number Venkata Surya Phani Bhushan Durvasula M.D. has the Individual type.

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1770861478 NPI number is provided on an as is basis without warranty of any kind. 1770861478 is maintained by the National Plan & Provider Enumeration System. The contents of Venkata Surya Phani Bhushan Durvasula M.D. are for informational purposes only.