Individual
SASIKANTH NALLAGATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 ROGERS RD STE 250, SAN ANTONIO, TX 78251-3688
(210) 417-4142
(210) 702-3372
Mailing address
10004 WURZBACH RD, SUITE 301, SAN ANTONIO, TX 78230-2214
(210) 417-4142
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
N5273
TX
207RP1001X
Pulmonary Disease Physician
N5273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287724304
—
TX
Enumeration date
06/18/2008
Last updated
07/07/2021
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