Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kiran Mysore Venkataramu, MS, CCCSLP

Individual provider Speech-Language Pathologist · NPI 1649323718

Mr. Kiran Mysore Venkataramu, MS, CCCSLP is a Speech-Language Pathologist in Wilmington, California. Licensed in Arizona and California. Registered with an NPI since 2007.

Licensed in
AZ, CA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

1613 W Pacific Coast Hwy Appt 188
Wilmington, CA 90744-1867
Phone: (310) 872-3601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14487 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP4942 (AZ)
Speech-Language Pathologist Taxonomy 235Z00000X (AZ)

Record details

NPI number1649323718
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCCSLP
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESSeptember 17, 2010

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