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Individual

DR. VIJAY K GUNUGANTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18707 HARDY OAK BLVD, SUITE 320, SAN ANTONIO, TX 78258-4791
(210) 545-6972
(210) 545-1016
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
M1427
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1121552
AETNA HMO
TX
05
174969901
TX
05
174969902
TX
01
7326655
AETNA PPO
TX
01
8S2181
BLUECROSS/BLUESHIELD TX.
TX
01
P00250234
RAILROAD MEDICARE
TX
01
P01547608
RAILROAD MEDICARE
TX
Enumeration date
07/25/2006
Last updated
01/28/2016
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