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
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