Sri Venkat Pllc

NPI #1073858106 in Irving, Texas

Provider Information

NPI Number: 1073858106
Entity Type: Organization
Organization Name: Sri Venkat Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 29, 2012
Last Updated: Nov 29, 2012

Practice Location

Address: 6512 DESEO
Address 2: APT 126
City: Irving
State: Texas
ZIP Code: 75039-3227
Phone: (817) 688-3433

Authorized Official

Name: DR. HARICHANDANA MUKKAMALLA, M.D
Title: PRESIDENT
Phone: (817) 688-3433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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