Search › Arizona › 183500000X

Vijay Vennam

NPI 1528399490 · on the registry since 2010 · sole proprietor

Practice

Address
2801 S 4th Ave
Yuma, AZ 85364
Phone
(928) 344-1010
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona