Dr. Archana Venkataraman
Periodontist
1500 W Hebron Pkwy Ste 108
Carrollton
, Texas 75010
Dr. Archana Venkataraman
Periodontist
1500 W Hebron Pkwy Ste 108
Carrollton
, Texas 75010
(763) 843-4188
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Archana Venkataraman
- 9809 N Macarthur Blvd Apt 402
- Irving, TX
- Zip : 75063-4759
- Phone : (763) 843-4188
Second Address
- Dr. Archana Venkataraman
- 1500 W Hebron Pkwy Ste 108
- Carrollton, TX
- Zip : 75010
- Phone : (763) 843-4188
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 33664 | TX |
National Provider Identifier
| NPI | 1023559101 |
|---|---|
| Provider Name | Dr. Archana Venkataraman |
| First Address | Irving, TX 75063-4759 |
| Second Address | Carrollton, TX 75010 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2017 |
| Last Update Date | 21/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.