| Sri Venkat Pllc | |
|
6512 Deseo Apt 126 Irving TX 75039-3227 | |
| (817) 688-3433 | |
| (214) 723-7650 |
| Full Name | Sri Venkat Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6512 Deseo, Irving, Texas |
| Authorized Official Name and Position | Harichandana Mukkamalla (PRESIDENT) |
| Authorized Official Contact | 8176883433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sri Venkat Pllc 6512 Deseo Apt 126 Irving TX 75039-3227 Ph: (817) 688-3433 | Sri Venkat Pllc 6512 Deseo Apt 126 Irving TX 75039-3227 Ph: (817) 688-3433 |
| NPI Number | 1073858106 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073858106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N3914 (Texas) | Primary |
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