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Individual

KRISHNA VEGIRAJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 639-3036
Mailing address
PO BOX 1447, LUFKIN, TX 75902-1447
(936) 639-3036

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L6696
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158418701
TX
05
158517601
TX
01
8A7433
BCBS
TX
01
8F3848
BCBS
TX
Enumeration date
12/08/2006
Last updated
03/05/2008
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