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Organization
VENKAT SRINIVASAN, MD, PA
Active
Organization
VENKAT SRINIVASAN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKAT SRINIVASAN (PRESIDENT)
(210) 928-2273
Entity
Organization
Contact information
Practice address
102 PALO ALTO RD, 300, SAN ANTONIO, TX 78211-3791
(210) 928-2273
(210) 928-7272
Mailing address
PO BOX 241990, SAN ANTONIO, TX 78224-8990
(210) 928-2273
(210) 928-7272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L5139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166565502
—
TX
Enumeration date
01/17/2008
Last updated
02/04/2011
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