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Saivenkat H Vagvala, DO
Neuroradiology Physician in Georgetown, Texas
NPI 1831546571

Saivenkat H Vagvala is a Neuroradiology Physician based in Georgetown, TX and is specialized in Neuroradiology. Saivenkat H Vagvala practices in Georgetown, TX and has the professional credentials of DO. The NPI Number for Saivenkat H Vagvala is 1831546571 and holds a License No. 69906 (Texas).

The current practice location address for Saivenkat H Vagvala is 1101 Wolf Lake Dr # 100, Georgetown, TX and can be reached out via phone at 877-324-3310.

Location: 1101 Wolf Lake Dr # 100, Georgetown, TX, 78628-3778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831546571
Provider Name
Saivenkat H Vagvala
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1101 Wolf Lake Dr # 100, Georgetown, TX, 78628-3778
Phone Number
877-324-3310
Fax Number
Provider Enumeration Date
05/23/2016
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
100081240 05 WI
institution
Provider Business Practice Location Address Details
Address
1101 Wolf Lake Dr # 100
City
Georgetown
State
Texas
Zip
78628-3778
Phone Number
877-324-3310
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Wolf Lake Dr # 100
City
Georgetown
State
Texas
Zip
78628-3778
Phone Number
877-324-3310
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
5101022440 (Michigan)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
1831546571 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
69906 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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