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

Venugopal Malligere Basavaraju, SLP

Individual provider Speech-Language Pathologist · NPI 1679312722

Venugopal Malligere Basavaraju, SLP is a Speech-Language Pathologist in Granada Hills, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

10801 Lindley Ave
Granada Hills, CA 91344-4441
Phone: (818) 275-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11601 Tampa Ave Unit 183, Northridge, CA 91326-1404 — (818) 730-6870

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 18729 (CA)

Record details

NPI number1679312722
Entity typeIndividual (Type 1)
GenderMale
Credentials SLP
Sole proprietorYes
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

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