Vasantha Agusala in Odessa - Adult Medicine
Vasantha Agusala - NPI 1619006228
Vasantha Agusala is a Adult Medicine in Odessa, Texas. Vasantha Agusala practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Vasantha Agusala is 1619006228. The last update date is 2007-07-08.
Vasantha Agusala'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 Vasantha Agusala is 318 N Alleghaney Ave, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vasantha Agusala |
|---|---|
| Address | 318 N Alleghaney Ave, Odessa, Texas |
| Phone Number | 4323372714 |
| Fax Number | 4323372726 |
| Sole Proprietor | N |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1619006228 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
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 Vasantha Agusala's unique identification number?
The Vasantha Agusala has been assigned the NPI (National Provider Identifier) Number 1619006228 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Vasantha Agusala is physically located?
The Vasantha Agusala is physically situated at the following address: 318 N Alleghaney Ave, Odessa, TX, 797615052.
What is the Vasantha Agusala's specialty and taxonomy code?
The Vasantha Agusala's specialty is Adult Medicine, and the corresponding taxonomy code is 207Qa0505X.
On what date did Vasantha Agusala receive its 1619006228 assignment from the Centers for Medicare & Medicaid Services?
The Vasantha Agusala was assigned its 1619006228 on 2007-03-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Vasantha Agusala's details last updated?
The information pertaining to the Vasantha Agusala, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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