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Abhinav Kumar Vulisha

Internal Medicine

Allopathic & Osteopathic Physicians

4801 Alberta Ave, El Paso, TX 79905-2707

PECOS Enrollment

This provider is enrolled in PECOS as ABHINAV VULISHA.

Based on the most recent information from CMS, provider Abhinav Kumar Vulisha is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1992367676
Provider Type
Individual
Full Name
Vulisha, Abhinav Kumar
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/2/2019
Last Updated
8/9/2023

Contact Information

Practice Location

4801 Alberta Ave, El Paso, TX 79905-2707

(915) 215-5200

(915) 215-8640

Mailing Location

440 Raynolds St # 51015, El Paso, TX 79905-1613

(915) 215-4480

(915) 215-5386

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License U2034 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 125.074432 Illinois

Abhinav Kumar Vulisha

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Ditangco, Roseller Martin

Garcia, Cesar J

Renteria, Oswaldo Francisco

Corey, Rebecca Lane

Infante, Taylor Anne

Colato, Luis Ramon

Chia, Jia Ee

Lehker, Angelica N

Elsayed, Esraa Sobhy Masoud Mohamed

Lane, Mariela P.