DR. VISHWANATH RAJU DANTHULURI (NPI# 1699118844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699118844 |
| Entity Type | Individual |
| Full Name | DR. VISHWANATH RAJU DANTHULURI |
| Credential | M.D. |
| Practice Address |
3705 Medical Pkwy Ste 250 Austin TX 78705-1022 |
| Practice Telephone | 5123021210 |
| Practice Fax Number | 5124519752 |
| Mailing Telephone | 5123341899 |
| Mailing Fax Number | 5123341890 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | R4825 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 4033235 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 Waters Ave, Savannah, GA 314046220 | 9123508598 | |
| 9910 Huebner Rd Ste 250, San Antonio, TX 78240 | 2106108924 |
| Street Address |
3705 MEDICAL PKWY STE 250 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518157031 | Romeo A Lainez | Surgery | 3705 Medical Pkwy Ste 250, Austin, TX 78705-1022 | 2007-07-31 |
| 1326305616 | Zachary Lynn Crislip | Surgery | 3705 Medical Pkwy Ste 250, Austin, TX 78705 | 2012-04-12 |
| 1396064952 | Roy Lirov | Surgery | 3705 Medical Pkwy Ste 250, Austin, TX 78705-1022 | 2010-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222663 | Carol Kim Le | Surgery | 502 Wilmes Dr, Austin, TX 78752-4139 | 2019-09-03 |
| 1891266144 | Jeanelle Denise Pickering-wolski | Surgery | 4700 Seton Center Pkwy Ste 100, Austin, TX 78759-6215 | 2018-12-16 |
| 1780115501 | Charles Edward Hill IIi | Surgery | Ut Austin Dell Medical School General Surgery Education, 1500 Red River St, Annex, Austin, TX 78701 | 2017-03-23 |
| 1972918951 | Surgery Southwest Austin Pllc | Surgery | 410 E 5th St, Unit 309, Austin, TX 78701-3700 | 2014-06-27 |
| 1316387061 | Shey Kyle Ditto | Surgery | 201 Wester Ross Ln, Austin, TX 78738 | 2013-06-26 |
| 1851692784 | Pedro Gustavo R Teixeira | Surgery | 1301 W 38th St Ste 400, Austin, TX 78705-1017 | 2010-11-09 |
| 1306162805 | Aileen Ebadat | Surgery | 4007 James Casey St Ste B140, Austin, TX 78745-3328 | 2010-04-09 |
| 1700011590 | Lauren Gayle Ash | Surgery | 7900 Fm 1826 Ste 180, Building 1, Austin, TX 78737-1408 | 2009-05-21 |
| 1871741900 | Hyon Christopher Shin, M.d., P.a. | Surgery | 9011 Mountain Ridge Dr Ste 140, Austin, TX 78759-7369 | 2008-09-03 |
| 1861648933 | Jessica Ann Naiditch | Surgery | 1301 Barbara Jordan Blvd Ste 400, Austin, TX 78723-3078 | 2008-08-08 |
| Find all providers in AUSTIN | ||||
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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.