DR. VENU KALLAM (NPI# 1518120013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518120013 |
| Entity Type | Individual |
| Full Name | DR. VENU KALLAM |
| Credential | DMD |
| Practice Address |
175 Union St Lynn MA 01901-1310 |
| Mailing Address |
155 Kennedy Dr Apt 08 Malden MA 02148-3431 |
| Practice Telephone | 7815929200 |
| Mailing Telephone | 2153018655 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2013-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22210 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DN22210 | 05 |
| Street Address |
175 UNION ST |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386138360 | Gurleen Sohi | Dentist | 175 Union St, Lynn, MA 01901-1310 | 2018-06-21 |
| 1598080566 | Globus Dental Care Center At Lynn | Dentist | 175 Union St, Lynn, MA 01901-1310 | 2010-04-02 |
| 1760612857 | Desh Deep Mandhyan | Dentist | 175 Union St, Lynn, MA 01901-1310 | 2009-07-23 |
| 1295998383 | Anurag Gupta | Dentist | 175 Union St, Lynn, MA 01901-1310 | 2008-07-08 |
| 1164690814 | Union St Family Dental PC | Dentist | 175 Union St, Lynn, MA 01901-1310 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396020665 | Nabil S Zahka Dmd PC | Dentist | 89 N Common St, Lynn, MA 01902-4334 | 2011-10-18 |
| 1215181474 | Nasser Kamali | Dentist | 232 Union St, Lynn, MA 01901-1315 | 2008-11-13 |
| 1306030911 | Melissa Gallery | Dentist | 152 Lynnway Ste 3c, Lynn, MA 01902-3420 | 2007-08-28 |
| 1710193578 | Simon Faynzilberg & Paul Shteynberg Dmd PC | Dentist | 21 Tremont St, Lynn, MA 01902-4413 | 2007-05-15 |
| 1003943895 | Natalya I Kravetskaya Dmd PC | Dentist | 30 State St, Lynn, MA 01901-1505 | 2007-02-27 |
| 1912053018 | Simon Faynzilberg | Dentist | 21 Tremont Street, Lynn, MA 01901 | 2007-01-25 |
| 1760530067 | Alireza Besharati | Dentist | 319 Lynnway, Lynn, MA 01901-1811 | 2007-01-05 |
| 1356402234 | Kevin James Turner | Dentist | 16 Atlantic St, Lynn, MA 01902-3115 | 2006-12-13 |
| 1063573996 | Jay M Epstein | Dentist | 295 Western Ave, Lynn, MA 01904-3024 | 2006-12-13 |
| 1902973258 | Stanislav Olegovich Tokarev | Dentist | 140 Union Street, 303, Lynn, MA 01901 | 2006-11-30 |
| Find all providers in LYNN | ||||
Please comment or provide details below to improve the information on DR. VENU KALLAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.