Individual
DR. ATHI P VENKATESH
Active
Individual
DR. ATHI P VENKATESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L7912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00385Z
MEDICARE PIN - KINGWOOD PSYCHIATRY
TX
05
—
165090502
—
TX
01
—
176061302
MEDICAID - KINGWOOD PSYCHIATRY
TX
01
—
45D2077598
CLIA
TX
Enumeration date
01/28/2007
Last updated
05/23/2014
Update your record
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