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Subhash Venigalla

Student in an Organized Health Care Education/Training Program in Fort Worth, TX. Individual provider (NPI-1).

NPI number1841986643
StatusActive
Last updated in NPPESApr 13, 2023

Details

NPI
1841986643
Entity type
Individual (NPI-1)
Name
Subhash Venigalla
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2023
Certification date
Apr 13, 2023
Last updated
Apr 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1400 8th Ave
Fort Worth, TX 76104-4110

Phone 817-922-4535

Mailing address

1400 8th Ave
Fort Worth, TX 76104-4110

Phone 817-922-4535

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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