Provider Demographics
| NPI: | 1669573598 |
|---|---|
| Name: | THOLAKANAHALLI, VENKATAKRISHNA NARASIMHAMURTHY (MBBS) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | VENKATAKRISHNA |
| Middle Name: | NARASIMHAMURTHY |
| Last Name: | THOLAKANAHALLI |
| Suffix: | |
| Gender: | M |
| Credentials: | MBBS |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 111C ONE VETERANS DRIVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MINNEAPOLIS |
| Mailing Address - State: | MN |
| Mailing Address - Zip Code: | 55417-2309 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 612-467-3662 |
| Mailing Address - Fax: | 612-727-5668 |
| Practice Address - Street 1: | 111C, ONE VETERANS DR. |
| Practice Address - Street 2: | |
| Practice Address - City: | MINNEAPOLIS |
| Practice Address - State: | MN |
| Practice Address - Zip Code: | 55417-2309 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 612-467-3662 |
| Practice Address - Fax: | 612-727-5668 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-09-25 |
| Last Update Date: | 2025-02-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| ND | 8054 | 207RC0000X, 207RC0001X |
| MN | 56128 | 207RC0000X, 207RC0001X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | Clinical Cardiac Electrophysiology |
| No | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |