| Vascular Institute Texas, Pllc | |
|
1919 S Shiloh Rd Ste 400 Garland TX 75042-8211 | |
| (469) 320-1267 | |
| (945) 242-8020 |
| Full Name | Vascular Institute Texas, Pllc |
|---|---|
| Speciality | Specialist |
| Location | 1919 S Shiloh Rd Ste 400, Garland, Texas |
| Authorized Official Name and Position | Sandeep Rao (OWNER) |
| Authorized Official Contact | 6143023561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vascular Institute Texas, Pllc 2222 W Pinnacle Peak Rd Ste 260 Phoenix AZ 85027-1224 Ph: (480) 616-0016 | Vascular Institute Texas, Pllc 1919 S Shiloh Rd Ste 400 Garland TX 75042-8211 Ph: (469) 320-1267 |
| NPI Number | 1326787524 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 9335520725 |
|---|---|
| Medicare Enrollment ID | O20220716000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326787524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
| Provider Name | Sandeep Rao |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1992905095 PECOS PAC ID: 1759554991 Enrollment ID: I20120716000512 |
| Provider Name | Murthy R Chamarthy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376854752 PECOS PAC ID: 0143536458 Enrollment ID: I20150901002810 |
| Provider Name | Stacy Yohannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861162414 PECOS PAC ID: 2668879420 Enrollment ID: I20210921001613 |
| Provider Name | Gautam Rao |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962934547 PECOS PAC ID: 7810264355 Enrollment ID: I20230721001870 |
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