Provider Demographics
NPI:1699238030
Name:VENEPALLY, NITHIN RAO (MD)
Entity type:Individual
Prefix:DR
First Name:NITHIN
Middle Name:RAO
Last Name:VENEPALLY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79763-4206
Mailing Address - Country:US
Mailing Address - Phone:432-703-5375
Mailing Address - Fax:
Practice Address - Street 1:SUMMA HEALTH/ CARDIOVASCULAR DISEASE FELLOWSHIP
Practice Address - Street 2:525 EAST MARKET ST.
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-4206
Practice Address - Country:US
Practice Address - Phone:330-253-8195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program