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NPI Code Detail

MEDICARE: VENETIA RUMNONG SARODE MD

MEDICARE:   VENETIA RUMNONG SARODE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianL1453TX
2207ZP0101XAnatomic Pathology PhysicianL1453TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760451215
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENETIA RUMNONG SARODE MD
Provider Business Mailing Address
First Line : 1355 RIVER BEND DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4915
Country : US
Telephone Number : 214-638-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1355 RIVER BEND DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4915
Country : US
Telephone Number : 214-675-6259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 12/12/2023

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Directions to “ VENETIA RUMNONG SARODE MD” Practice Location

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