Individual
SAURABH GULERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MD.31475
AL
2085R0202X
Diagnostic Radiology Physician
Primary
Q8497
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140596
—
AL
05
—
141077
—
AL
05
—
141137
—
AL
05
—
141286
—
AL
05
—
141446
—
AL
05
—
172832
—
AL
05
—
358218101
—
TX
01
—
511-25624
BLUE CROSS
AL
01
—
511-25625
BLUE CROSS
AL
01
—
511-25626
BLUE CROSS
AL
01
—
511-25627
BLUE CROSS
AL
01
—
511-25630
BLUE CROSS
AL
01
—
511-26396
BLUE CROSS
AL
01
—
511-33695
BLUE CROSS
AL
01
—
630842160
AETNA
AL
Enumeration date
08/04/2008
Last updated
04/05/2021
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