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Contact Information

VENKAT R MANTHA, MD
12222 MERIT DR STE 600
DALLAS, TX75251-3294
 Phone: 972-715-5000
 Fax: 972-715-9976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for VENKAT R MANTHA · (Male)

NPI Number 1295709269
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2006
Last updated 04/24/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TX License # FTL44819
  • TX License # Q9191
  • PA Medicaid 001679910
Hospital affiliation(s)
  • SUGAR LAND SURGICAL HOSPITAL LLP - (Acute Care)
    16906 SOUTHWEST FREEWAY
    SUGAR LAND, TX 77479
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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