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Individual

DR. VENKATA SAMBA SIVA RAO CHILAKAPATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4100 W 15TH ST STE 110, PLANO, TX 75093-5826
(469) 782-9860
(469) 461-3581
Mailing address
3400 COIT RD # 262609, PLANO, TX 75075-3771
(469) 782-9860
(469) 461-3581

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q4377
TX
207RC0000X
Cardiovascular Disease Physician
0101253145
VA
207RC0000X
Cardiovascular Disease Physician
Primary
Q4377
TX
207RI0011X
Interventional Cardiology Physician
0101253145
VA
207RI0011X
Interventional Cardiology Physician
Q4377
TX

Other

Enumeration date
05/12/2008
Last updated
05/02/2023
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