Venkateswara R Kanubaddi M.D.

NPI 1750388955 - Anesthesiology - 207L00000X

NPI Details
NPI 1750388955
Gender Male
Enumeration Date 07/01/2005
Last Updated 06/18/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
2121 LAKE AVE
FORT WAYNE IN, 46805-5100, US
Phone (260) 426-5431
Fax (260) 460-1383
Business Location
1928 SYCAMORE HILLS DR
FORT WAYNE IN, 46814-9304, US
Phone (260) 625-3540
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Indiana
License Number 01028849A
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According to our database, Dr. Venkateswara R Kanubaddi M.D. NPI is 1750388955, taxonomy code is 207L00000X and license number is 01028849A, license state is located at Indiana. Venkateswara R Kanubaddi M.D. physically located at 2121 Lake Ave, Fort Wayne IN, 46805-5100. NPI Number Venkateswara R Kanubaddi M.D. has the Individual type.

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1750388955 NPI number is provided on an as is basis without warranty of any kind. 1750388955 is maintained by the National Plan & Provider Enumeration System. The contents of Venkateswara R Kanubaddi M.D. are for informational purposes only.