Individual
VENKATA SUBRAHMANYA SASTRY PRAYAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 HILLCREST MEDICAL BLVD, WACO, TX 76712-8952
(254) 202-7204
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
U1747
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02570501
—
NY
05
—
176975001
—
AR
Enumeration date
06/18/2006
Last updated
02/21/2023
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