Madhava Agusala Md.,P.A in Odessa - Adult Medicine
Madhava Agusala Md.,P.A - NPI 1619191541
Madhava Agusala Md.,P.A is a Adult Medicine in Odessa, Texas. Madhava Agusala Md.,P.A practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Madhava Agusala Md.,P.A is 1619191541. The last update date is 2009-06-26.
Madhava Agusala Md.,P.A's current location address is 318 N Alleghaney Ave, Odessa, Texas. You can contact this provider via phone number 4323372714 and fax number 4323372726. The mailing address for Madhava Agusala Md.,P.A is 318 N Alleghaney Ave, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Madhava Agusala Md.,P.A |
|---|---|
| Address | 318 N Alleghaney Ave, Odessa, Texas |
| Phone Number | 4323372714 |
| Fax Number | 4323372726 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Agusala Madhava |
| Credentials | MD. |
| Telephone Number | 4323372714 |
NPI Number Detail
| NPI Number | 1619191541 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2009-06-26 |
Provider Mailing Address Detail
| Address | 318 N Alleghaney Ave |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797615052 |
| Phone Number | 4323372714 |
| Fax Number | 4323372726 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | K3962 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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What is the unique 10-digit identifier code assigned to Madhava Agusala Md.,P.A by the Centers for Medicare & Medicaid Services?
The Madhava Agusala Md.,P.A has been issued the NPI (National Provider Identifier) 1619191541 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Madhava Agusala Md.,P.A located?
The Madhava Agusala Md.,P.A is located at 318 N Alleghaney Ave, Odessa, TX 797615052.
What is Madhava Agusala Md.,P.A's area of expertise and its corresponding taxonomy classification?
The Madhava Agusala Md.,P.A's field of specialization is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their areas of practice.
On what date did the Madhava Agusala Md.,P.A receive its 1619191541 assignment from the Centers for Medicare & Medicaid Services?
The Madhava Agusala Md.,P.A was assigned its 1619191541 by the Centers for Medicare & Medicaid Services on 2007-04-12.
When was the information pertaining to Madhava Agusala Md.,P.A most recently updated or revised?
The details related to Madhava Agusala Md.,P.A, including its address, specialty, and other relevant information, were last updated or revised on 2009-06-26.
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