Healthcare Provider Details

I. General information

NPI: 1134345721
Provider Name (Legal Business Name): VENKATARAMANA P. GARIKIPARTHY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1861 SH 276
ROCKWALL TX
75032
US

IV. Provider business mailing address

1861 SH 276
ROCKWALL TX
75032
US

V. Phone/Fax

Practice location:
  • Phone: 972-722-4992
  • Fax: 972-722-4995
Mailing address:
  • Phone: 972-722-4992
  • Fax: 972-722-4995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP0385
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19415
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: