Individual
DR. KAVEA PANNEERSELVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12850 TOEPPERWEIN RD, LIVE OAK, TX 78233-4115
(210) 614-1234
(210) 614-0952
Mailing address
950 E STATE HIGHWAY 114 STE 200, SOUTHLAKE, TX 76092-5261
(214) 424-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
U1737
TX
207RG0100X
Gastroenterology Physician
Primary
U1737
TX
208M00000X
Hospitalist Physician
U1737
TX
Other
Enumeration date
03/30/2019
Last updated
07/18/2025
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