Venkatram Nethala MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

8994 Issued in NH

Legal business name

VENKATRAM NETHALA MD PC

Practice address

85 Spring St
Suit # 3B
Laconia, NH 03246-3113

Phone

(603) 527-7116

Fax

(603) 737-6762

NPI assigned

Sep 20, 2009

Last updated

Sep 20, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Venkatram Nethala, MD

Title

President

Phone

(603) 527-7116

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253404800000",
    "number": "1184958464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7299",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032477299",
            "telephone_number": "603-527-7116",
            "fax_number": "603-737-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SPRING ST",
            "address_2": "SUIT # 3B",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-527-7116",
            "fax_number": "603-737-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENKATRAM NETHALA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-20",
        "last_updated": "2009-09-20",
        "status": "A",
        "authorized_official_last_name": "NETHALA",
        "authorized_official_first_name": "VENKATRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-527-7116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "8994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Laconia, NH
• Providers in Laconia, NH by specialty
• Cardiovascular Disease Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.