Individual
SRIVIDYA VENKATARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2811 DUKE OF GLOUCESTER ST, SUITE 103, DESOTO, TX 75115
(972) 274-5555
(972) 274-5663
Mailing address
2811 DUKE OF GLOUCESTER ST, SUITE 103, DESOTO, TX 75115
(972) 274-5555
(972) 274-5663
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M3104
TX
Other
Enumeration date
09/27/2006
Last updated
08/25/2011
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