Venkataraman, Mythili T

Venkataraman, Mythili T is an individual health care provider with primary practice located at 5236 W University Dr Suite 2000, Mckinney TX 75071-7889. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Venkataraman, Mythili T can be contacted via phone (469) 800-5450.

Contact Information

Primary practice address
5236 W University Dr Suite 2000 Mckinney TX 75071-7889
Phone: (469) 800-5450
Fax: (469) 800-5455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101231606 Virginia

Profile Details

NPI number 1093717860
LBN Legal business name Venkataraman, Mythili T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Nov 4th, 2016 - about 9 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 1093717860 NPPES
Virginia MEDICAID 5861683

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