Vidi, Venkatesan Dyanesh
Vidi, Venkatesan Dyanesh is an individual health care provider with primary practice located at 1305 Airport Fwy Ste 424 , Bedford TX 76021-6608. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Vidi, Venkatesan Dyanesh can be contacted via phone (817) 510-1060.Contact Information
Primary practice address
1305 Airport Fwy Ste 424
Bedford TX 76021-6608
Phone: (817) 510-1060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 273680 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 273680 | New York |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 273680 | New York |
Profile Details
| NPI number | 1962673392 |
|---|---|
| LBN Legal business name | Vidi, Venkatesan Dyanesh |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2008 |
| Last updated | Mar 24th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962673392 | NPPES |
| Texas | Other | 441463 | MEDICARE PTAN |
| Texas | MEDICAID | 3520546 | MEDICARE PTAN |
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