DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. VASANTHA AGUSALA, M.D

Active

DR. VASANTHA AGUSALA, M.D is a Adolescent Medicine healthcare provider located in ODESSA, Texas. NPI 1619006228 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · ODESSA, TX

Registration Details

NPI Number
1619006228
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2007 (19.408238249517 yrs)
Last Updated
Jul 8, 2007
License
K3962 (TX)

Practice Information

Address
318 N ALLEGHANEY AVE
SUITE 402
ODESSA, TX, 797615052
Browse TX providers · Browse ZIP 79761
Phone
4323372714
Fax
4323372726
Primary Specialty
Adolescent Medicine
207QA0505X

Other Adolescent Medicine Providers in ODESSA, TX

Name Credential NPI
DR. DAVID BARRY WILLINGHAM M.D. 1467441642
ADEBOLA AWINO AGNP 1043109788
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.