Mr Kiran Mysore Venkataramu, MS, CCC SLP - Speech-Language Pathologist in Wilmington, CA

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Mr Kiran Mysore Venkataramu, MS, CCC SLP is a Speech-language Pathologist based in Wilmington, California. Mr Kiran Mysore Venkataramu is licensed to practice in California (license number 14487) and his current practice location is 1613 W Pacific Coast Hwy, Appt 188, Wilmington, California. He can be reached at his office (for appointments etc.) via phone at (310) 872-3601.

NPI number for Mr Kiran Mysore Venkataramu is 1649323718 and his current mailing address is 1613 W Pacific Coast Hwy, Appt 188, Wilmington, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649323718.

Contact Information

Mr Kiran Mysore Venkataramu, MS, CCC SLP
1613 W Pacific Coast Hwy, Appt 188,
Wilmington, CA 90744-1867
(310) 872-3601
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Kiran Mysore Venkataramu
GenderMale
SpecialitySpeech-language Pathologist
Location1613 W Pacific Coast Hwy, Wilmington, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649323718
  • Provider Enumeration Date: 01/19/2007
  • Last Update Date: 09/17/2010

Medical Identifiers

Medical identifiers for Mr Kiran Mysore Venkataramu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649323718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SLP4942 (Arizona)Secondary
235Z00000XSpeech-language Pathologist (Arizona)Secondary
235Z00000XSpeech-language Pathologist 14487 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kiran Mysore Venkataramu is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kiran Mysore Venkataramu, MS, CCC SLP
1613 W Pacific Coast Hwy, Appt 188,
Wilmington, CA 90744-1867

Ph: (310) 872-3601		Mr Kiran Mysore Venkataramu, MS, CCC SLP
1613 W Pacific Coast Hwy, Appt 188,
Wilmington, CA 90744-1867

Ph: (310) 872-3601

Reviews and Comments


Speech-Language Pathologist in Wilmington, CA


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