MEDICARE: DR. MURTHY V. R. GEDALA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	M1697	TX
2	207R00000X	Internal Medicine Physician	M1697	TX
3	207RN0300X	Nephrology Physician	M1697	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225134943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MURTHY V. R. GEDALA MD

Provider Business Mailing Address
First Line	:	PO BOX 782467
Second Line	:	12951 HUEBNER RD
City	:	SAN ANTONIO
State	:	TX
Zip	:	78278-2467
Country	:	US
Telephone Number	:	210-876-3658
Fax Number	:	210-866-1956

Provider Business Practice Location Address
First Line	:	7434 LOUIS PASTEUR DR STE 102
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4539
Country	:	US
Telephone Number	:	210-876-3658
Fax Number	:	210-866-1956

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	01/29/2026

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Directions to “ DR. MURTHY V. R. GEDALA MD” Practice Location

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