| Venkateswara Rao Dikkala, M.D. | |
|
2775 Cruse Rd Suite 1801 Lawrenceville GA 30044-7140 | |
| (678) 380-9199 | |
| (770) 935-0199 |
| Full Name | Venkateswara Rao Dikkala, M.D. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2775 Cruse Rd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Venkateswara Rao Dikkala (MEMBER) |
| Authorized Official Contact | 6783809199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Venkateswara Rao Dikkala, M.D. 2775 Cruse Rd Suite 1801 Lawrenceville GA 30044-7140 Ph: (678) 380-9199 | Venkateswara Rao Dikkala, M.D. 2775 Cruse Rd Suite 1801 Lawrenceville GA 30044-7140 Ph: (678) 380-9199 |
| NPI Number | 1750509634 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750509634 | NPI | - | NPPES |
| 1023076387 | Other | GA | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 048226 (Georgia) | Primary |
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Raymond L. Stovall, M.D., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 |
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Carehere LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046 Phone: 877-423-1330 |
Bennett H. Bruckner,m.d., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 |
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