Individual
VENKATESWAR RAO SURABHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
FTL 41676
TX
2085R0202X
Diagnostic Radiology Physician
FTL 42178
TX
2085R0202X
Diagnostic Radiology Physician
FTL 42587
TX
2085R0202X
Diagnostic Radiology Physician
ME137237
FL
2085R0202X
Diagnostic Radiology Physician
Primary
N7659
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190251202
—
TX
01
—
190251203
CSHCN
TX
05
—
190251208
—
TX
01
—
190251209
MEDICAID-CSHCN
TX
01
—
8NV199
BLUE CROSS BLUE SHIELD
TX
01
—
8W2048
BCBS
TX
01
—
Q00018973
RAILROAD MEDICARE
TX
Enumeration date
03/02/2007
Last updated
03/11/2021
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