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Individual

VENKATA S ERELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3207 RANCH ROAD 620 S, AUSTIN, TX 78738-6872
(512) 730-3885
Mailing address
3207 RANCH ROAD 620 S, AUSTIN, TX 78738-6872
(512) 730-3885

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01063531A
IN
208200000X
Plastic Surgery Physician
Primary
M7167
TX
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
01063531A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000525700
ANTHEM BLUE SHIELD
IN
05
200863480
IN
Enumeration date
05/10/2006
Last updated
05/27/2026
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