NPI | 1750509634 |
---|---|
Doing Business As | VENKATESWARA RAO DIKKALA, M.D. |
Entity Type | Organization |
Authorized Contact | VENKATESWARA RAO DIKKALA Member 678-380-9199 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 048226) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |