Healthcare Provider Details

I. General information

NPI: 1548228638
Provider Name (Legal Business Name): VENKATESAN SRINIVASAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 FLOYD CURL
SAN ANTONIO TX
78229-3979
US

IV. Provider business mailing address

8201 EWING HALSELL DR 280
SAN ANTONIO TX
78229-3743
US

V. Phone/Fax

Practice location:
  • Phone: 210-575-8500
  • Fax: 210-575-8506
Mailing address:
  • Phone: 210-575-8500
  • Fax: 210-575-8506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG6022
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberG6022
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: