Chaitanya Venegalla in Concord - Psychologist

Chaitanya Venegalla - NPI 1700045085

Chaitanya Venegalla is a Psychologist in Concord, North Carolina. Chaitanya Venegalla practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Chaitanya Venegalla is 1700045085. The last update date is 2022-07-21.

Chaitanya Venegalla's current location address is 284 Executive Park Dr Ste 100, Concord, North Carolina. You can contact this provider via phone number 7049391100 and fax number 7049391173. The mailing address for Chaitanya Venegalla is 284 Executive Park Dr Ste 100, Concord, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Chaitanya Venegalla
Address 284 Executive Park Dr Ste 100, Concord, North Carolina
Phone Number 7049391100
Fax Number 7049391173
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1700045085
Provider Enumeration Date 2008-06-03
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 284 Executive Park Dr Ste 100
City Concord
State North Carolina (NC)
Post Code 280251833
Phone Number 7049391100
Fax Number 7049391173

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 3732
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16583 NC BCBS
1700045085 NC --
601128-174 NC MAGELLAN

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FAQs about Chaitanya Venegalla

What is the unique 10-digit identification code issued to Chaitanya Venegalla by the Centers for Medicare & Medicaid Services?

The Chaitanya Venegalla has been assigned the NPI (National Provider Identifier) 1700045085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Chaitanya Venegalla's facilities are geographically located?

The facilities of Chaitanya Venegalla are physically situated at the following location: 284 Executive Park Dr Ste 100, Concord, NC, 280251833.

What is Chaitanya Venegalla's specialized field of practice, and what is the corresponding taxonomy classification code?

The Chaitanya Venegalla's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

When was the Chaitanya Venegalla's 1700045085 issued?

The Chaitanya Venegalla's 1700045085 was issued on 2008-06-03.

As of what date was the information regarding Chaitanya Venegalla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Chaitanya Venegalla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.

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