Vasu Medical PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

N9300 Issued in TX

Legal business name

VASU MEDICAL PLLC

Doing business as

Clear Lake Medical Clinic

Practice address

450 W Medical Center Blvd
Suite 203
Webster, TX 77598-4234

Phone

(832) 906-2500

Fax

(832) 906-2501

NPI assigned

Apr 19, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manan S Shukla, MDNPI 1194794610

Title

President

Phone

(612) 306-1509

Specialties & licenses 1

Addresses

Other names 1

• Clear Lake Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manan S. Shukla, MD

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1194794610
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1225562887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD",
            "address_2": "SUITE 203",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "832-906-2500",
            "fax_number": "832-906-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD",
            "address_2": "SUITE 203",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "832-906-2500",
            "fax_number": "832-906-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASU MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "MANAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-306-1509",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "N9300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Lake Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Shaji Varghese, PMHNP-BC
• Varkey M Varghese, OTR
• Madison Kathryn Varisco, NURSE PRACTITIONER
• Aneesha Varkey
• Amani Varner-Johnson, RBT
• Vasudeva Reddy Boosupalli MD PA
• Anna Maria Vaz, ACNPC-AG
• Roopa Velaga
• Jayanti Venkatesan, M.D.
• Jamila Verani

• Clinic/Center in Webster, TX
• Providers in Webster, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.