Individual
DR. PAVAN GANAPATHIRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
7901 METROPOLIS DR, AUSTIN, TX 78744-3111
(512) 823-4000
Mailing address
7901 METROPOLIS DR, AUSTIN, TX 78744-3111
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1.069754-DO
CT
207RP1001X
Pulmonary Disease Physician
Primary
1.069754-DO
CT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
1.069754-DO
CT
Other
Enumeration date
06/22/2016
Last updated
08/09/2023
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