IndividualActive
Venumadhav Rayasam, M.D.
NPI 1770135550 · Pulmonary Disease Physician · Pocatello, ID
Provider details
- NPI number
- 1770135550
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1561378 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
777 Hospital Way
Suite 202
Pocatello, ID 83201-5175
Phone: (208) 239-2640
Fax: (208) 239-3737
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 4168
Pocatello, ID 83205-4168
Registry dates
- Enumerated
- 2019-07-12
- Last updated
- 2025-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.