Organization
VIJAYRAMA POREDDY, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJARAMA POREDDY (PRESIDENT)
(512) 419-5186
Entity
Organization
Contact information
Practice address
12201 RENFERT WAY, STE 365, AUSTIN, TX 78758-5354
(512) 491-5186
(512) 491-5203
Mailing address
12201 RENFERT WAY, STE 365, AUSTIN, TX 78758-5354
(512) 491-5186
(512) 491-5203
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L9434
TX
Other
Enumeration date
08/17/2007
Last updated
09/17/2012
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