PRAVEEN VENIGALLA

LAFAYETTE, IN
NPI1528352598
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01092317A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NC  2017-00547)
208M00000X Hospitalist
(Licence: SC  52426)
Enumeration Date2011-06-07
Last Update Date2024-07-01
Business Address
PRAVEEN VENIGALLA
3900 ST FRANCIS WAY STE 200
LAFAYETTE, IN 47905-4940
Phone number: 765-775-2800
Mailing Address
PRAVEEN VENIGALLA
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800