MADHAVA AGUSALA MD.,P.A – NPI #1619191541
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

MADHAVA AGUSALA MD.,P.A is a provider located in ODESSA, TX. NPPES has assigned the NPI number 1619191541 to MADHAVA AGUSALA MD.,P.A on April 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 17 years ago on Jun 26, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MADHAVA AGUSALA MD.,P.A below.

NPI Profile for
MADHAVA AGUSALA MD.,P.A

NPI Number
1619191541
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MADHAVA AGUSALA MD.,P.A
Primary location
318 N ALLEGHANEY AVE
STE 402
ODESSA, TX 79761-5052
Phone: (432) 337-2714 Fax: (432) 337-2726
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MADHAVA AGUSALA
PRESIDENT
Phone: (432) 337-2714
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
TX J1178
207QA0505X
- Family Medicine / Adult Medicine
TX K3962

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.