Provider Demographics
NPI:1235936170
Name:VENKATESWARAN, RAJAMIYER V (MD FRCS-CTH)
Entity type:Individual
Prefix:PROF
First Name:RAJAMIYER
Middle Name:V
Last Name:VENKATESWARAN
Suffix:
Gender:
Credentials:MD FRCS-CTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 19TH ST S # ZRB701
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1926
Mailing Address - Country:US
Mailing Address - Phone:205-864-4645
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF ALABAMA MEDICAL CENTRE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-0001
Practice Address - Country:US
Practice Address - Phone:205-934-7024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6483SP208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)