Venkateswara Rao Dikkala M.D.

NPI 1023076387 - Pediatrics - 208000000X

NPI Details
NPI 1023076387
Gender Male
Enumeration Date 05/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2775 CRUSE RD
SUITE 1801
LAWRENCEVILLE GA, 30044-7140, US
Phone (678) 380-9199
Fax (908) 634-2861
Business Location
2775 CRUSE RD
SUITE 1801
LAWRENCEVILLE GA, 30044-7140, US
Phone (678) 380-9199
Fax (908) 634-2861
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 048226
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According to our database, Dr. Venkateswara Rao Dikkala M.D. NPI is 1023076387, taxonomy code is 208000000X and license number is 048226, license state is located at Georgia. Venkateswara Rao Dikkala M.D. physically located at 2775 Cruse Rd, Lawrenceville GA, 30044-7140. NPI Number Venkateswara Rao Dikkala M.D. has the Individual type.

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1023076387 NPI number is provided on an as is basis without warranty of any kind. 1023076387 is maintained by the National Plan & Provider Enumeration System. The contents of Venkateswara Rao Dikkala M.D. are for informational purposes only.