Kancherla, Vishal
Kancherla, Vishal is an individual health care provider with primary practice located at 4700 Seton Center Pkwy Ste 200, Austin TX 78759-4107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kancherla, Vishal can be contacted via phone (512) 439-1000.Contact Information
Primary practice address
4700 Seton Center Pkwy Ste 200
Austin TX 78759-4107
Phone: (512) 439-1000
Fax: (512) 439-1081
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 0102201916 | Virginia |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | M6218 | Texas |
Profile Details
NPI number | 1598873143 |
---|---|
LBN Legal business name | Kancherla, Vishal |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 25th, 2006 |
Last updated | Oct 28th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598873143 | NPPES |
Texas | Other | P00707159 | RRMCR |
Texas | MEDICAID | 201488802 | RRMCR |
Texas | MEDICAID | 201488801 | RRMCR |
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