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Contact Information

VENU M MADHIPATLA, MD
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA30046-8768
 Phone: 770-962-3642
 Fax: 770-962-3643
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for VENU M MADHIPATLA · (Male)

NPI # 1578623278
Status Active
Credentials MD
Entity Individual
Enumeration date 12/11/2006
Last updated 10/01/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 065559
  • GA License # 65559
  • GA Medicaid 003104831A
  • GA Medicaid 003104831N
  • IN Medicaid 200973980
  • KY Medicaid 7100117730
Hospital affiliation(s)
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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