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NPI Code Detail

MEDICARE: DR. TITUS K VENYAH M.D.

MEDICARE: DR. TITUS K VENYAH M.D.
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
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianL7590TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28DB780OTHERTXBCBS
38AJ873OTHERTXBCBS

General Provider Information

NPI Number : 1639130966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TITUS K VENYAH M.D.
Provider Business Mailing Address
First Line : 2717 COMMERCIAL CENTER BLVD STE D150
Second Line :
City : KATY
State : TX
Zip : 77494-7824
Country : US
Telephone Number : 888-663-6331
Fax Number :
Provider Business Practice Location Address
First Line : 8588 KATY FWY STE 226A
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1881
Country : US
Telephone Number : 713-532-6884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 09/12/2024

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