Pushpalatha Tirumale Venkataraman, PHYSICIAN ASSISTANT

NPI #1477895035 in Medina, Ohio

Provider Information

NPI Number: 1477895035
Entity Type: Individual
Name: Pushpalatha Tirumale Venkataraman, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Mar 21, 2013
Last Updated: Sep 21, 2022

Practice Location

Address: 801 E WASHINGTON ST
Address 2: SUITE 150
City: Medina
State: Ohio
ZIP Code: 44256-3335
Phone: (330) 722-1069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

Additional Practice Locations

9220 Mentor Ave

Mentor, OH, 44060-6412

(440) 354-9924

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