Vijayrama Poreddy, MD, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

L9434 Issued in TX

Legal business name

VIJAYRAMA POREDDY, MD, PA

Practice address

12201 Renfert Way
Ste 365
Austin, TX 78758-5354

Phone

(512) 491-5186

Fax

(512) 491-5203

NPI assigned

Aug 17, 2007

Last updated

Sep 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vijarama Poreddy

Title

President

Phone

(512) 419-5186

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1760674212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "STE 365",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-491-5186",
            "fax_number": "512-491-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "STE 365",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-491-5186",
            "fax_number": "512-491-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYRAMA POREDDY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "POREDDY",
        "authorized_official_first_name": "VIJARAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-419-5186"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L9434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky A Vietz, CRNA
• Simone Marie Vigil, PHARMD
• Jessica Viglianco, MOT, OTR
• Douglas Vigliano, MBA
• Paul Vigo, M.D.
• Christopher D Vije, MD
• Vik Medical Concierge
• Michael Paul Vik, M.D.
• Renee Yvonne Vilaire
• Carla Teresa Vilardo

• Gastroenterology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.