Organization
SIVA P SONTINENI,MD,PA.
Active
Other names
RADIANT HEART & VASCULAR CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SIVA PRASAD SONTINENI MD (DIRECTOR)
(469) 645-1155
Entity
Organization
Contact information
Practice address
2701 SHORELINE DR STE 101, DENTON, TX 76210-0175
(469) 645-1155
(469) 645-1210
Mailing address
PO BOX 293297, LEWISVILLE, TX 75029-3297
(469) 645-1155
(469) 645-1210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3514937
—
TX
01
—
DW0363
MEDICARE RAIL ROAD PTAN
TX
Enumeration date
08/07/2015
Last updated
02/16/2023
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