Provider Demographics
NPI:1952392938
Name:VENKATARAMANI, ARJUN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARJUN
Middle Name:
Last Name:VENKATARAMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 WHITE POND DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-4205
Mailing Address - Country:US
Mailing Address - Phone:330-869-0124
Mailing Address - Fax:330-869-2852
Practice Address - Street 1:570 WHITE POND DR
Practice Address - Street 2:SUITE 100
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-4205
Practice Address - Country:US
Practice Address - Phone:330-869-0124
Practice Address - Fax:330-869-2852
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35075769V207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH341296621OtherCHAMPUS
OH2110450Medicaid
OH8466976OtherAETNA
OH101785OtherKAISER
OH2900591OtherUHC
OH34129662100OtherCAREWORKS
OH341296621030OtherCARESOURCE
OH730008OtherBUCKEYE MEDICAID
OH000000129697OtherBCBS
OH100014409OtherRAILROAD MEDICARE
OH341296621VOtherSUMMACARE
OH730008OtherBUCKEYE MEDICAID
OH2900591OtherUHC