DR. VASANTHA AGUSALA (NPI# 1619006228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619006228 |
| Entity Type | Individual |
| Full Name | DR. VASANTHA AGUSALA |
| Credential | M.D |
| Practice Address |
318 N Alleghaney Ave Suite 402 Odessa TX 79761-5052 |
| Practice Telephone | 4323372714 |
| Practice Fax Number | 4323372726 |
| Mailing Telephone | 4323372714 |
| Mailing Fax Number | 4323372726 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
K3962 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
318 N ALLEGHANEY AVE SUITE 402 |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-5052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032899 | Joseph Albert Abijay | Psychiatry & Neurology | 318 N Alleghaney Ave, Suite 302, Odessa, TX 79761-5052 | 2005-06-10 |
| 1114370798 | Basin Infectious Diseases Associates | Internal Medicine | 318 N Alleghaney Ave, Ste 300, Odessa, TX 79761-5052 | 2016-07-19 |
| 1619342490 | Constanza Maria Bridges | Nurse Practitioner | 318 N Alleghaney Ave, Suite 200, Odessa, TX 79761-5052 | 2015-12-05 |
| 1306111877 | Comprehensive Kidney Institute of West Texas | Internal Medicine | 318 N Alleghaney Ave, Suite 200, Odessa, TX 79761-5052 | 2012-03-17 |
| 1912270166 | Darrell Parsons, M.d., P.a. | Internal Medicine | 318 N Alleghaney Ave, Suite 100, Odessa, TX 79761-5052 | 2012-02-20 |
| 1851565394 | Scott Sanford Md Pa | Internal Medicine | 318 N Alleghaney Ave, Suite 100, Odessa, TX 79761-5052 | 2008-04-16 |
| 1285822999 | Shai Yuan Liu | Surgery | 318 N Alleghaney Ave, Ste 301, Odessa, TX 79761-5081 | 2007-10-09 |
| 1619191541 | Madhava Agusala Md.,p.a | Family Medicine | 318 N Alleghaney Ave, Ste 402, Odessa, TX 79761-5052 | 2007-04-12 |
| 1720201312 | Robbi Reeves | Physician Assistant | 318 N Alleghaney Ave, Suite 400, Odessa, TX 79761-5052 | 2007-04-11 |
| 1700915303 | Madhava Agusala | Internal Medicine | 318 N Alleghaney Ave, Suite 402, Odessa, TX 79761-5052 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619191541 | Madhava Agusala Md.,p.a | Family Medicine | 318 N Alleghaney Ave, Ste 402, Odessa, TX 79761-5052 | 2007-04-12 |
| 1467441642 | David Barry Willingham | Family Medicine | 4222 Wendover Ave, Suite 600, Odessa, TX 79762-5945 | 2005-10-19 |
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|---|---|---|---|---|
| 1720686496 | Hill Country Health Pllc | Family Medicine | 1010 Ranch Road 620 S Ste 107, Lakeway, TX 78734-5638 | 2020-10-14 |
| 1174139471 | Stacie Leann Herring | Family Medicine | 1300 Tx-107, La Villa, TX 78562 | 2020-09-22 |
| 1336753508 | Woodlands Diagnostic Clinic, Pa | Family Medicine | 9201 Pinecroft Dr Ste 200, Shenandoah, TX 77380-3889 | 2020-09-03 |
| 1932738465 | Arlington Integrative Medicine LLC | Family Medicine | 1420 N Cooper St Ste 109, Arlington, TX 76011-8530 | 2020-04-06 |
| 1396379772 | Heights Total Wellness Clinic, Pllc | Family Medicine | 1801 Durham Dr Ste 4, Houston, TX 77007-2272 | 2020-02-25 |
| 1063043271 | Katie Lianne Jubala | Family Medicine | 129 Park Place Cir, Iowa Park, TX 76367-1064 | 2020-01-28 |
| 1558909879 | Forrest Duane Giles | Family Medicine | 152 Mcvoid Rd, Springtown, TX 76082-5929 | 2019-12-17 |
| 1710525225 | Mary Osawe | Family Medicine | 1308 Winecup Ct, Allen, TX 75002-0983 | 2019-12-16 |
| 1609411735 | Sara E Bellard | Family Medicine | 4735 Ridgewood Ave, Port Arthur, TX 77642-6612 | 2019-11-13 |
| 1528600574 | Shearren Johnson | Family Medicine | 2162 Us Highway 259 S, Diana, TX 75640-3510 | 2019-10-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.