Thota, Venkat

Thota, Venkat is an individual health care provider with primary practice located at 1518 10Th St , Wichita Falls TX 76301-4405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Thota, Venkat can be contacted via phone (940) 723-6400.

Contact Information

Primary practice address
1518 10Th St Wichita Falls TX 76301-4405
Fax: (940) 723-6403
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X K6362 Texas

Profile Details

NPI number 1437111697
LBN Legal business name Thota, Venkat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Mar 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437111697 NPPES
Texas MEDICAID 040292702

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