Individual
DR. SIVA PRASAD SONTINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 SHORELINE DR STE 101, DENTON, TX 76210-0175
(469) 645-1155
(469) 645-1210
Mailing address
PO BOX 293297, LEWISVILLE, TX 75029-3297
(469) 645-1155
(866) 282-7202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P4112
TX
207RC0000X
Cardiovascular Disease Physician
P4112
TX
207RI0011X
Interventional Cardiology Physician
Primary
P4112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3514952
—
TX
01
—
P01542377
MEDICARE RAIL ROAD PTAN
TX
Enumeration date
04/13/2007
Last updated
04/22/2026
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