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.
Healthcare Provider's Profile
| Full Name | Mr Kiran Mysore Venkataramu |
|---|
| Gender | Male |
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| Speciality | Speech-language Pathologist |
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| Location | 1613 W Pacific Coast Hwy, Wilmington, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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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.
| Identifier | Type | State | Issuer |
|---|
| 1649323718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SLP4942 (Arizona) | Secondary |
| 235Z00000X | Speech-language Pathologist | (Arizona) | Secondary |
| 235Z00000X | Speech-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 Address | Practice 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 |
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