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Individual

DR. RAJESH VENKATARAMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
17183 I H 45 S STE 650, SHENANDOAH, TX 77385-3316
(936) 270-3933
Mailing address
17183 I H 45 S STE 650, SHENANDOAH, TX 77385-3316

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28613
AL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
P5489
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
319110805
TX
05
319110806
TX
Enumeration date
02/20/2008
Last updated
09/18/2018
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