Individual
NAREN NATRAJ VENKATESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 GASTON AVE STE 502, DALLAS, TX 75246-1805
(469) 800-7700
(469) 800-7710
Mailing address
3600 GASTON AVE STE 502, DALLAS, TX 75246-1805
(469) 800-7700
(469) 800-7710
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
Q5595
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
A131477
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Q5595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349961801
—
TX
01
—
8FK539
BCBS
TX
Enumeration date
04/21/2009
Last updated
02/03/2020
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