Individual
DR. MADHAVA AGUSALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
318 N ALLEGHANEY AVE, SUITE 402, ODESSA, TX 79761-5052
(432) 337-2714
(432) 337-2726
Mailing address
318 N ALLEGHANEY AVE, SUITE 402, ODESSA, TX 79761-5052
(432) 337-2714
(432) 337-2726
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J1178
TX
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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