Individual
JASVANT ADUSUMALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1583 E COMMON ST STE 111, NEW BRAUNFELS, TX 78130-3174
(830) 629-2826
(830) 629-2841
Mailing address
12200 RENFERT WAY STE G-3, AUSTIN, TX 78758-5654
(512) 821-2540
(512) 973-3533
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
052873
GA
207V00000X
Obstetrics & Gynecology Physician
P2820
TX
207VM0101X
Maternal & Fetal Medicine Physician
36618
AZ
207VM0101X
Maternal & Fetal Medicine Physician
A86507
CA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
P2820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224465
—
AZ
Enumeration date
01/11/2007
Last updated
01/04/2022
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