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1730186081
VENKAT VAVILALA
MERRILLVILLE, IN
NPI
1730186081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: IN 01057614A)
Enumeration Date
2005-07-01
Last Update Date
2022-12-13
Business Address
VENKAT VAVILALA MD
90 W 86TH AVE
MERRILLVILLE, IN 46410-7086
Phone number: 219-791-1555
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Mailing Address
VENKAT VAVILALA MD
120 W 22ND ST
OAK BROOK, IL 60523-1557
Phone number: 630-573-5000
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