Individual
ROHIT VENKATESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0565
(409) 772-1164
(409) 772-3533
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0565
(409) 772-1164
(409) 772-3533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10047128
TX
207RX0202X
Medical Oncology Physician
Primary
R7920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386401902
—
TX
01
—
386401903
MEDICAID CSHCN
TX
Enumeration date
04/25/2013
Last updated
03/04/2023
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