Venkat Talasila | |
200 S Wenona St Ste G29 Bay City MI 48706-8820 | |
(989) 893-3212 | |
(989) 893-0461 |
Full Name | Venkat Talasila |
---|---|
Speciality | Counselor - Mental Health |
Location | 200 S Wenona St, Bay City, Michigan |
Authorized Official Name and Position | Venkat Talasila (PSYCHIATRIST) |
Authorized Official Contact | 9898933212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Venkat Talasila 200 S Wenona St Ste G29 Bay City MI 48706-8820 Ph: (989) 893-3212 | Venkat Talasila 200 S Wenona St Ste G29 Bay City MI 48706-8820 Ph: (989) 893-3212 |
NPI Number | 1942468459 |
---|---|
Provider Enumeration Date | 05/30/2008 |
Last Update Date | 05/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942468459 | NPI | - | NPPES |
103117160 | Medicaid | MI | |
2600731330 | Other | MI | BC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4301407245 (Michigan) | Primary |
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