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Dr. Akila Venkataraman, MD

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Wilkes Barre, PA. Individual provider (NPI-1).

NPI number1164417879
StatusActive
Last updated in NPPESFeb 11, 2021

Details

NPI
1164417879
Entity type
Individual (NPI-1)
Name
Dr. Akila Venkataraman
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 19, 2005
Certification date
Feb 11, 2021
Last updated
Feb 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child NeurologyMD471964PAYes
2080P0008X Pediatrics, Neurodevelopmental Disabilities001613NY

Practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Phone 570-808-7300

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Phone 570-271-6144 · Fax 570-271-6578

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