Organization
ADVANCED INTERNAL MEDICINE PRACTICE PLLC
Active
Organization
ADVANCED INTERNAL MEDICINE PRACTICE PLLC
Active
Other names
AIM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJATHA GERINENI MD (MANAGING MEMBER)
(248) 766-4888
Entity
Organization
Contact information
Practice address
1418 WALKERS WAY STE 101, SAN ANTONIO, TX 78216-7752
(210) 245-7933
(210) 761-3824
Mailing address
2313 LOCKHILL SELMA RD STE 102, SAN ANTONIO, TX 78230-3007
(210) 245-7933
(210) 855-8033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295299808
GROUP NPI
TX
01
—
1396973640
NPI
TX
Enumeration date
01/28/2019
Last updated
03/11/2026
Update your record
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