Provider Demographics
NPI:1710017488
Name:VEGIRAJU, SRIHARI R (MD)
Entity Type:Individual
Prefix:DR
First Name:SRIHARI
Middle Name:R
Last Name:VEGIRAJU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3708 JEFFERSON ST
Mailing Address - Street 2:STE A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6206
Mailing Address - Country:US
Mailing Address - Phone:512-459-6503
Mailing Address - Fax:512-454-7453
Practice Address - Street 1:3708 JEFFERSON ST
Practice Address - Street 2:STE A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6206
Practice Address - Country:US
Practice Address - Phone:512-459-6503
Practice Address - Fax:512-454-7453
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2015-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM1394207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB153427OtherWELLMED MEDICAL GROUP PA
TXB155619OtherWELLMED NETWORKS INC
TXB155619OtherWELLMED NETWORKS INC