Provider Demographics
NPI:1720037229
Name:MALINENI, VASAVI (MD)
Entity Type:Individual
Prefix:
First Name:VASAVI
Middle Name:
Last Name:MALINENI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7710 BEECHNUT ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3100
Mailing Address - Country:US
Mailing Address - Phone:713-777-7145
Mailing Address - Fax:713-337-4803
Practice Address - Street 1:7710 BEECHNUT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3100
Practice Address - Country:US
Practice Address - Phone:713-777-7145
Practice Address - Fax:713-337-4803
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2012-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL9334207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172898201Medicaid
TXH06583Medicare UPIN
TX172898201Medicaid