Individual
PREM VINDHYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-2401
(432) 640-1118
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2401
(432) 640-1118
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G6039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120414107
—
TX
01
—
8K1301
BLUE SHIELD AND BLUE CROSS
TX
Enumeration date
11/03/2006
Last updated
08/19/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us