Prayaga, Venkata Subrahmanya Sastry
Prayaga, Venkata Subrahmanya Sastry is an individual health care provider with primary practice located at 50 Hillcrest Medical Blvd , Waco TX 76712-8952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Prayaga, Venkata Subrahmanya Sastry can be contacted via phone (254) 202-7204.Contact Information
Primary practice address
50 Hillcrest Medical Blvd
Waco TX 76712-8952
Phone: (254) 202-7204
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | U1747 | Texas |
Profile Details
NPI number | 1487699864 |
---|---|
LBN Legal business name | Prayaga, Venkata Subrahmanya Sastry |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2006 |
Last updated | Feb 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487699864 | NPPES |
New York | MEDICAID | 02570501 | |
New York | MEDICAID | 176975001 |
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