Pokala, Vijaya R

Pokala, Vijaya R is an sole proprietor health care provider with primary practice located at 1023 N Mound St Suite K, Nacogdoches TX 75961-4491. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Pokala, Vijaya R can be contacted via phone (936) 564-2099.

Contact Information

Primary practice address
1023 N Mound St Suite K Nacogdoches TX 75961-4491
Phone: (936) 564-2099
Fax: (936) 564-2083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X H6917 Texas
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X L05982 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X H6917 Texas

Profile Details

NPI number 1205847522
LBN Legal business name Pokala, Vijaya R
Credentials M.D., F.A.C.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Mar 7th, 2023 - about last year

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 1205847522 NPPES
Texas MEDICAID 179845601
Texas Other C0073073
Texas Other H6917
Texas Other L05982

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