Individual
DR. VISHAL KANCHERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Mailing address
4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M6218
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
0102201916
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201488801
—
TX
05
—
201488802
—
TX
01
—
P00707159
RRMCR
TX
Enumeration date
08/25/2006
Last updated
01/28/2025
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