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General NPI Number Information
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NPI Number | 1861623340
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Entity Type | Individual
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Provider Name | HAREESHA RAO VEMUGANTI M.D
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Gender | Female
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Dates
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Enumeration Date | 08/02/2009
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1401 MEDICAL PKWY STE 200
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City | CEDAR PARK
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State | TX
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Zip | 78613-5026
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Country | US
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Telephone | 512-260-6050
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Fax | 512-260-6080
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-0813
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD447956
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | R4020
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License Number State | TX
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