NPI Code Details Logo

NPI 1891951356

NPI 1891951356 : SAURABH GULERIA M.D. : AUSTIN, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1891951356
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SAURABH GULERIA M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/04/2008
-----------------------------------------------------
    Last Update Date     |    04/05/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    12554 RIATA VISTA CIR 
-----------------------------------------------------
    City                 |    AUSTIN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78727-6431
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-795-5100
-----------------------------------------------------
    Fax                  |    512-795-5122
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    12554 RIATA VISTA CIR 
-----------------------------------------------------
    City                 |    AUSTIN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78727-6431
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-795-5100
-----------------------------------------------------
    Fax                  |    512-795-5122
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    Q8497
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2085P0229X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Radiology Physician
-----------------------------------------------------
    License Number       |    MD.31475
-----------------------------------------------------
    License Number State |    AL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.