Individual
DR. VIVEK A PADEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 MEDICAL PKWY, SUITE 301, DALLAS, TX 75234-7840
(972) 241-4208
(972) 241-7189
Mailing address
PO BOX 117506, CARROLLTON, TX 75011-7506
(972) 241-4208
(972) 241-7189
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K4181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054288
BLUE LINK
TX
01
—
2143771
UNITED HEALTHCARE
TX
01
—
2676528
AETNA
TX
01
—
2900014771
RAILROAD MEDICARE
TX
05
—
44873002
—
TX
01
—
55374102
CIGNA
TX
01
—
8B7952
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
03/08/2006
Last updated
09/08/2009
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