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NPI Code Detail

MEDICARE: VENKATA S ERELLA MD

MEDICARE:   VENKATA S ERELLA  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
1208200000XPlastic Surgery PhysicianM7167TX

General Provider Information

NPI Number : 1255380671
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENKATA S ERELLA MD
Provider Business Mailing Address
First Line : 3207 RANCH ROAD 620 S
Second Line :
City : AUSTIN
State : TX
Zip : 78738-6872
Country : US
Telephone Number : 512-730-3885
Fax Number :
Provider Business Practice Location Address
First Line : 3207 RANCH ROAD 620 S
Second Line :
City : AUSTIN
State : TX
Zip : 78738-6872
Country : US
Telephone Number : 512-730-3885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 05/27/2026

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Directions to “ VENKATA S ERELLA MD” Practice Location

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