Provider Demographics
NPI:1568427516
Name:DEVABHAKTUNI, VENU G (MD)
Entity Type:Individual
Prefix:DR
First Name:VENU
Middle Name:G
Last Name:DEVABHAKTUNI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1600 S ANDREWS AVENUE
Mailing Address - Street 2:PEDIATRIC CRITICAL CARE, BROWARD GENERAL MEDICAL CENTER
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316
Mailing Address - Country:US
Mailing Address - Phone:954-468-8000
Mailing Address - Fax:954-468-8007
Practice Address - Street 1:1600 S ANDREWS AVE
Practice Address - Street 2:PEDIATRIC CRITICAL CARE, BROWARD GENERAL MEDICAL CENTER
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2510
Practice Address - Country:US
Practice Address - Phone:954-468-8000
Practice Address - Fax:954-468-8007
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME757632080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine