Provider Demographics
NPI:1770331894
Name:DABBARA, VENKARA RISHIKA (MD)
Entity type:Individual
Prefix:MS
First Name:VENKARA RISHIKA
Middle Name:
Last Name:DABBARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 W. SHERMAN AVE.
Mailing Address - Street 2:BOX 93
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360
Mailing Address - Country:US
Mailing Address - Phone:856-641-8662
Mailing Address - Fax:856-575-4944
Practice Address - Street 1:1505 W. SHERMAN AVE.
Practice Address - Street 2:BOX 93
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-641-8662
Practice Address - Fax:856-575-4944
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program