Provider Demographics
NPI:1740271196
Name:ANGIRASA, ARUSH K (DPM)
Entity type:Individual
Prefix:
First Name:ARUSH
Middle Name:K
Last Name:ANGIRASA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 CHISHOLM TRL
Mailing Address - Street 2:STE 400
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5039
Mailing Address - Country:US
Mailing Address - Phone:512-451-1969
Mailing Address - Fax:512-458-2327
Practice Address - Street 1:2500 W. WILLIAM CANNON DRIVE
Practice Address - Street 2:SUITE 401
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5290
Practice Address - Country:US
Practice Address - Phone:512-451-1969
Practice Address - Fax:512-458-2327
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1727213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173334701Medicaid
TX8E0078OtherBCBS
TX8E0078OtherBCBS
TXV04687Medicare UPIN
TX173334701Medicaid
TXTXB123836Medicare PIN