Individual
VINAY KUTAGULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4708 ALLIANCE BLVD, PAV 1, SUITE 550, PLANO, TX 75093-5340
(469) 800-6140
(469) 800-6145
Mailing address
4708 ALLIANCE BLVD, PAV 1, SUITE 550, PLANO, TX 75093-5340
(469) 800-6140
(469) 800-6145
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
P2886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03120017500
QUALCHOICE
AR
05
—
154520001
—
AR
01
—
5M729
BCBS
AR
01
—
P00081865
RAILROAD MEDICARE1
AR
Enumeration date
10/13/2006
Last updated
04/04/2022
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