Provider Demographics
NPI:1972786275
Name:NALLURI, VENKATARAMANA K (MD)
Entity Type:Individual
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First Name:VENKATARAMANA
Middle Name:K
Last Name:NALLURI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1701 W CHARLESTON BLVD
Mailing Address - Street 2:#215
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2325
Mailing Address - Country:US
Mailing Address - Phone:702-671-2395
Mailing Address - Fax:702-382-5388
Practice Address - Street 1:2410 FIRE MESA ST
Practice Address - Street 2:#180
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-9016
Practice Address - Country:US
Practice Address - Phone:702-992-6888
Practice Address - Fax:702-992-6880
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2011-11-09
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Provider Licenses
StateLicense IDTaxonomies
NV13667207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine