Individual
DR. MYTHILI T VENKATARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4716 ALLIANCE BLVD, SUITE 700, PLANO, TX 75093
(469) 800-6000
(469) 800-6030
Mailing address
4716 ALLIANCE BLVD, SUITE 700, PLANO, TX 75093
(469) 800-6000
(469) 800-6030
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101231606
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5861683
—
VA
Enumeration date
08/11/2005
Last updated
05/22/2025
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