MEDICARE: DR. VENKAT SRINIVASAN 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
1	207R00000X	Internal Medicine Physician	L5139	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1841273729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VENKAT SRINIVASAN M.D.

Provider Business Mailing Address
First Line	:	1151 DIRETTO DR
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-2739
Country	:	US
Telephone Number	:	210-723-8418
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 DIRETTO DR
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-2739
Country	:	US
Telephone Number	:	210-723-8418
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	04/08/2025

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