Individual
DR. RAJA KOTESWAR DHANEKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 UNIVERSITY BLVD BLDG A, ROUND ROCK, TX 78665-1032
(512) 509-0200
(512) 509-2229
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S9493
TX
207RG0100X
Gastroenterology Physician
Primary
S9493
TX
207RT0003X
Transplant Hepatology Physician
S9493
TX
Other
Enumeration date
06/20/2011
Last updated
04/03/2024
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