Doctor Name: | DR. SRINIVASA RAO VENKATESH |
NPI Number: | 1063463974 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G2876 |
Business Practice Address: | 21216 Northwest Fwy Suite 270 Cypress, TX - 774291439 |
Business Phone Number: | 2818077676 |
Business Fax Number: | 2818076888 |
Mailing Address: | 21216 Northwest Freeway, Suite 270 CYPRESS |
State: | TX |
Postal Code: | 774294695 |
Phone Number: | 2818077676 |
Fax Number: | 2818076888 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 11/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G2876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |