Individual
DR. VENKAT SETHURAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3450 FOREST LN STE 200, DALLAS, TX 75234-7714
(972) 741-7189
(214) 484-7568
Mailing address
3450 FOREST LN STE 200, DALLAS, TX 75234-7714
(972) 741-7189
(214) 614-1448
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
N6010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N6010
MEDICAL LICENSE
TX
Enumeration date
07/07/2005
Last updated
05/10/2021
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