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General NPI Number Information
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NPI Number | 1780703942
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Entity Type | Organization
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Legal Business Name | ATHI P VENKATESH MD PA
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 19701 KINGWOOD DR BLDG 3
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City | KINGWOOD
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State | TX
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Zip | 77339-3773
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Country | US
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Telephone | 281-358-5701
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Fax | 281-358-7061
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Provider Business Mailing Address
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Address Line | 19701 KINGWOOD DR BLDG 3
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City | KINGWOOD
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State | TX
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Zip | 77339-3773
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Country | US
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Telephone | 281-358-5701
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Fax | 281-358-7061
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Authorized Official
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Title or Position | PROVIDER
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Name | ATHI P VENKATESH
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Credential | MD PA
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Telephone | 281-358-5701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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