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NPI Code Detail

MEDICARE: DR. HAREESHA RAO VEMUGANTI M.D

MEDICARE: DR. HAREESHA RAO VEMUGANTI M.D
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
1207R00000XInternal Medicine PhysicianMD447956PA
2207RH0003XHematology & Oncology PhysicianR4020TX

Other Identifiers

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

General Provider Information

NPI Number : 1861623340
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAREESHA RAO VEMUGANTI M.D
Provider Business Mailing Address
First Line : PO BOX 911230
Second Line :
City : DALLAS
State : TX
Zip : 75391-1230
Country : US
Telephone Number : 972-997-8000
Fax Number : 972-234-0813
Provider Business Practice Location Address
First Line : 1401 MEDICAL PKWY STE 200
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-5026
Country : US
Telephone Number : 512-260-6050
Fax Number : 512-260-6080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2009
Last Update Date : 03/05/2025

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