Healthcare Provider Details

I. General information

NPI: 1740271196
Provider Name (Legal Business Name): ARUSH K ANGIRASA DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 03/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W. WILLIAM CANNON DRIVE SUITE 401
AUSTIN TX
78745-5290
US

IV. Provider business mailing address

1 CHISHOLM TRL STE 400
ROUND ROCK TX
78681-5039
US

V. Phone/Fax

Practice location:
  • Phone: 512-451-1969
  • Fax: 512-458-2327
Mailing address:
  • Phone: 512-451-1969
  • Fax: 512-458-2327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1727
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: