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NPI Code Detail

MEDICARE: DR. KRANTHI VEERAMACHANENI M.D

MEDICARE:  DR. KRANTHI  VEERAMACHANENI  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician13510NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1V108178OTHERNVSMA MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093923526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRANTHI VEERAMACHANENI M.D
Provider Business Mailing Address
First Line : PO BOX 15645
Second Line :
City : LAS VEGAS
State : NV
Zip : 89114-5645
Country : US
Telephone Number : 702-560-2886
Fax Number : 702-560-2928
Provider Business Practice Location Address
First Line : 5580 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-0111
Country : US
Telephone Number : 702-876-4449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 06/06/2016

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