Individual provider · Type 1 NPI

Vasantha Agusala, MD

Adult Medicine Physician · Odessa, TX

NPI number 1619006228 Active

Practice location

318 N Alleghaney Ave, Suite 402
Odessa, TX 79761-5052

Fax (432) 337-2726

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XK3962 (TX)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

13 other providers at this address

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About NPI 1619006228

Vasantha Agusala, MD's National Provider Identifier is 1619006228, issued on Mar 2, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Odessa, TX. The record was last updated on Jul 8, 2007.