Venkatesh Vasantha Madhav
Internist Geriatric Medicine
5040 Tennyson Pkwy
Plano
, Texas 75024-3002
Venkatesh Vasantha Madhav
Internist Geriatric Medicine
5040 Tennyson Pkwy
Plano
, Texas 75024-3002
(469) 574-7840
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Venkatesh Vasantha Madhav
- 5040 Tennyson Pkwy
- Plano, TX
- Zip : 75024-3002
- Fax : (469) 574-7840
- Phone : (469) 476-7810
Second Address
- Venkatesh Vasantha Madhav
- 5040 Tennyson Pkwy
- Plano, TX
- Zip : 75024-3002
- Fax : (469) 574-7840
- Phone : (469) 476-7810
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FAQs
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Is Venkatesh Vasantha Madhav a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | L2536 | TX |
| Y | 111NI0900X | Internist | L2536 | TX |
| N | 207RG0300X | Geriatric Medicine | 44245 | TN |
| N | 207RG0300X | Geriatric Medicine | L2436 | TX |
National Provider Identifier
| NPI | 1144274341 |
|---|---|
| Provider Name | Venkatesh Vasantha Madhav |
| First Address | Plano, TX 75024-3002 |
| Second Address | Plano, TX 75024-3002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2006 |
| Last Update Date | 22/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H29357 | (02) | TN |
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.