Vijayrama Poreddy, Md, Pa

Specialty details in registry · Austin, TX

Call (512) 491-5186 Directions

At a glance

12201 Renfert Way, Austin, TX 78758-5354

NPPES record updated Sep 17, 2012. Public records can lag behind changes at a practice.

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Practice location

12201 Renfert Way Ste 365
Austin, TX 78758-5354

Professional details: NPI, taxonomy & registry record

NPI1760674212

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 207RG0100X
Enumeration date: Aug 17, 2007
Record updated: Sep 17, 2012

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207RG0100X · Primary

License reported: L9434 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12201 Renfert Way
Ste 365
Austin, TX 78758-5354

Phone: (512) 491-5186
Fax: (512) 491-5203

Mailing address

12201 RENFERT WAY
STE 365
AUSTIN, TX 787585354

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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