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Individual

DR. VENKAT R MANTHA

Active
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Individual

DR. VENKAT R MANTHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
FTL44819
TX
207L00000X
Anesthesiology Physician
Primary
Q9191
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Q9191
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001679910
PA
Enumeration date
02/15/2006
Last updated
04/24/2024
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