Individual
KIRAN SETHI VENINCASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4450 TUBBS RD, ROCKWALL, TX 75032-6308
(972) 722-3290
(469) 402-2585
Mailing address
4450 TUBBS RD, ROCKWALL, TX 75032-6308
(972) 722-3290
(469) 402-2585
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T0031
TX
Other
Enumeration date
05/19/2015
Last updated
09/09/2021
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