Pokala, Vijaya R
Pokala, Vijaya R is an sole proprietor health care provider with primary practice located at 1023 N Mound St Suite K, Nacogdoches TX 75961-4491. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Pokala, Vijaya R can be contacted via phone (936) 564-2099.Contact Information
Primary practice address
1023 N Mound St Suite K
Nacogdoches TX 75961-4491
Phone: (936) 564-2099
Fax: (936) 564-2083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | H6917 | Texas |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | L05982 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | H6917 | Texas |
Profile Details
| NPI number | 1205847522 |
|---|---|
| LBN Legal business name | Pokala, Vijaya R |
| Credentials | M.D., F.A.C.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205847522 | NPPES |
| Texas | MEDICAID | 179845601 | |
| Texas | Other | C0073073 | |
| Texas | Other | H6917 | |
| Texas | Other | L05982 |
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