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1225030281

NPI Code Detail

MEDICARE: DR. VISHAL B MALPANI MD

MEDICARE: DR. VISHAL B MALPANI MD

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
1	207Q00000X	Family Medicine Physician	20684	WV
2	207Q00000X	Family Medicine Physician	N7456	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CA7346	OTHER	WV	RAILROAD MEDICARE GROUP
5	P00647699	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	TXB131488	OTHER	TX	WELLMED PTAN

General Provider Information

NPI Number	:	1225030281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VISHAL B MALPANI MD

Provider Business Mailing Address
First Line	:	2222 ROSEWOOD AVE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-2206
Country	:	US
Telephone Number	:	512-465-4840
Fax Number	:	512-465-4841

Provider Business Practice Location Address
First Line	:	2222 ROSEWOOD AVE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-2206
Country	:	US
Telephone Number	:	512-465-4840
Fax Number	:	512-465-4841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	03/15/2016

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Directions to “ DR. VISHAL B MALPANI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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