| 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 |