Most Relevant Information
Provider Data
| NPI Number: | 1003311275 |
| Provider Name: | RAMASASTRY VENKATA |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2018 |
| Last Updated: | 03/28/2018 |
Provider Practice Location
3101 W CHARLESTON BLVD
LAS VEGAS
NV
891021931
Practice Location Phone/Fax
| Phone: | 7028222600 |
| Fax: |
Provider Mailing Location
3101 W CHARLESTON BLVD
LAS VEGAS
NV
891021931
Provider Mailing Phone/Fax
| Phone: | 7028222600 |
| Fax: |