Mambapoor, Viswajyothi

Mambapoor, Viswajyothi is an sole proprietor health care provider with primary practice located at 7901 Metropolis Dr , Austin TX 78744-3111. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mambapoor, Viswajyothi can be contacted via phone (512) 823-4000.

Contact Information

Primary practice address
7901 Metropolis Dr Austin TX 78744-3111
Phone: (512) 823-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L1124 Texas
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X L1124 Texas

Profile Details

NPI number 1972609162
LBN Legal business name Mambapoor, Viswajyothi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Oct 29th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972609162 NPPES
Texas MEDICAID 146610401

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