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Individual

DR. VAMSI KRISHNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1180 SETON PKWY, SUITE 450, KYLE, TX 78640-6178
(512) 504-0860
(512) 504-0861
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
Q1437
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8EQ035
BCBS
TX
Enumeration date
12/04/2008
Last updated
12/22/2014
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