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General NPI Number Information
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NPI Number | 1477547875
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Entity Type | Individual
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Provider Name | SATISH V VAYUVEGULA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 4721 HOLLAND LN
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City | CARROLLTON
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State | TX
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Zip | 75010-4594
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Country | US
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Telephone | 312-718-2368
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Fax |
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Provider Business Mailing Address
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Address Line | 4721 HOLLAND LN
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City | CARROLLTON
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State | TX
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Zip | 75010-4594
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Country | US
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Telephone | 312-718-2368
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 036106606
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 35094576
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | P2390
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35094576
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | P2390
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 036106606
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | P2390
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 35094576
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | P2390
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License Number State | TX
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