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Individual

VIKRAM DURAIRAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3705 MEDICAL PKWY, SUITE 120, AUSTIN, TX 78705-1019
(512) 458-2141
(512) 458-4824
Mailing address
3705 MEDICAL PKWY, SUITE 120, AUSTIN, TX 78705-1019
(512) 458-2141
(512) 458-4824

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
P8128
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
P8128
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01758268
CO
Enumeration date
10/13/2006
Last updated
01/13/2022
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