MEDICARE: DR. APARNA VALLABHANENI 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	207R00000X	Internal Medicine Physician	Q2081	TX

General Provider Information

NPI Number	:	1447441068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. APARNA VALLABHANENI MD

Provider Business Mailing Address
First Line	:	1901 W WILLIAM CANNON DR STE 112
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5322
Country	:	US
Telephone Number	:	512-444-2661
Fax Number	:	512-444-2720

Provider Business Practice Location Address
First Line	:	1901 W WILLIAM CANNON DR STE 112
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5322
Country	:	US
Telephone Number	:	512-444-2661
Fax Number	:	512-444-2720

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

Provider Enumeration Date	:	08/08/2007
Last Update Date	:	02/02/2024

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