| Vasu Medical Pllc | |
|
450 W Medical Center Blvd Suite 203 Webster TX 77598-4234 | |
| (832) 906-2500 | |
| (832) 906-2501 |
| Full Name | Vasu Medical Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 450 W Medical Center Blvd, Webster, Texas |
| Authorized Official Name and Position | Manan S Shukla (PRESIDENT) |
| Authorized Official Contact | 6123061509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vasu Medical Pllc 450 W Medical Center Blvd Suite 203 Webster TX 77598-4234 Ph: (832) 906-2500 | Vasu Medical Pllc 450 W Medical Center Blvd Suite 203 Webster TX 77598-4234 Ph: (832) 906-2500 |
| NPI Number | 1225562887 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 05/02/2017 |
| Medicare PECOS PAC ID | 7810266715 |
|---|---|
| Medicare Enrollment ID | O20170710001044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225562887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | N9300 (Texas) | Primary |
| Provider Name | Manan S Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194794610 PECOS PAC ID: 3577544048 Enrollment ID: I20121023000813 |
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