Organization
ATHI P VENKATESH MD PA
Active
Other names
KINGWOOD PSYCHIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
ATHI P VENKATESH MD PA (PROVIDER)
(281) 358-5701
Entity
Organization
Contact information
Practice address
19701 KINGWOOD DR, BLDG 3, KINGWOOD, TX 77339-3773
(281) 358-5701
(281) 358-7061
Mailing address
19701 KINGWOOD DR, BLDG 3, KINGWOOD, TX 77339-3773
(281) 358-5701
(281) 358-7061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176061302
—
TX
01
—
45D2077598
CLIA
TX
Enumeration date
03/28/2007
Last updated
06/24/2022
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