Priya R Venugopal in Southlake - Specialist
Priya R Venugopal - NPI 1639159023
Priya R Venugopal is a Specialist in Southlake, Texas. Priya R Venugopal practices all healthcare services and medical treatments related to Specialist. The NPI Number for Priya R Venugopal is 1639159023. The last update date is 2018-03-07.
Priya R Venugopal's current location address is Po Box 92038, Southlake, Texas. You can contact this provider via phone number 8177492001 and fax number 9404831568. The mailing address for Priya R Venugopal is Po Box 92038, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Priya R Venugopal |
|---|---|
| Address | Po Box 92038, Southlake, Texas |
| Phone Number | 8177492001 |
| Fax Number | 9404831568 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639159023 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2018-03-07 |
Provider Mailing Address Detail
| Address | Po Box 92038 |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760920101 |
| Phone Number | 8177492001 |
| Fax Number | 9404831568 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | L5600 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0020ML | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Priya R Venugopal by the Centers for Medicare & Medicaid Services (CMS)?
The Priya R Venugopal has been assigned the NPI (National Provider Identifier) 1639159023. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Priya R Venugopal is physically located?
The Priya R Venugopal is situated at the following address: Po Box 92038, Southlake, TX 760920101.
What is Priya R Venugopal's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Priya R Venugopal is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did Priya R Venugopal receive its 1639159023 assignment from the Centers for Medicare & Medicaid Services?
The Priya R Venugopal was assigned its 1639159023 on 2006-01-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Priya R Venugopal's information last updated?
The Priya R Venugopal's information was last updated on 2018-03-07.