Individual provider · Type 1 NPI

Vidyaratna A. Fleetwood, MD

Surgery Physician · Houston, TX

NPI number 1649534231 Active

Practice location

6620 Main St
Houston, TX 77030-2348

Mailing address

727 Lorillard Ct
Madison, WI 53703-3808

Other practice locations

  • 1465 S Grand Blvd, St. Louis, MO 63104-1003 · (314) 577-5351
  • 1225 S Grand Blvd Fl 3, St. Louis, MO 63104-1016 · (314) 257-3760

Specialties and licenses

TaxonomyCodeLicense
Transplant Surgery Physician 204F00000X69614 (WI)
Transplant Surgery Physician 204F00000X48730 (TX)
Surgery Physician 208600000X125061738 (IL)
Surgery Physician Primary 208600000XW0574 (TX)
Transplant Surgery Physician 204F00000X2020026557 (MO)
Surgery Physician 208600000X48730 (TX)
Surgery Physician 208600000X2020026557 (MO)
Surgery Physician 208600000X69614 (WI)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1649534231

Vidyaratna A. Fleetwood, MD's National Provider Identifier is 1649534231, issued on Jun 27, 2012. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Houston, TX. The record was last updated on Oct 6, 2025.