| Venkat Talasila | |
|
200 S Wenona St Ste G29 Bay City MI 48706-8820 | |
| (989) 893-3212 | |
| (989) 893-0461 |
| Full Name | Venkat Talasila |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 S Wenona St, Bay City, Michigan |
| Authorized Official Name and Position | Venkat Talasila (PSYCHIATRIST) |
| Authorized Official Contact | 9898933212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Venkat Talasila 200 S Wenona St Ste G29 Bay City MI 48706-8820 Ph: (989) 893-3212 | Venkat Talasila 200 S Wenona St Ste G29 Bay City MI 48706-8820 Ph: (989) 893-3212 |
| NPI Number | 1942468459 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942468459 | NPI | - | NPPES |
| 103117160 | Medicaid | MI | |
| 2600731330 | Other | MI | BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4301407245 (Michigan) | Primary |
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