Individual
VIKAS VENKATA MUDGAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5109 MEDICAL DR, SAN ANTONIO, TX 78229-5068
(888) 852-3935
Mailing address
5109 MEDICAL DR, SAN ANTONIO, TX 78229-5068
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
34.017805
OH
207QA0505X
Adult Medicine Physician
Primary
V3917
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H13538337
DRIVER'S LICENSE ID
NE
Enumeration date
04/30/2021
Last updated
05/12/2025
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