MEDICARE: MRS. SAIMAMBA VEERAMACHANENI M.D.,F.A.C.C.

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
1	207R00000X	Internal Medicine Physician	140871	NY
2	207RC0000X	Cardiovascular Disease Physician	140871	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1326198599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SAIMAMBA VEERAMACHANENI M.D.,F.A.C.C.

Provider Business Mailing Address
First Line	:	121 DEKALB AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5425
Country	:	US
Telephone Number	:	718-802-1565
Fax Number	:	718-624-7837

Provider Business Practice Location Address
First Line	:	142 JORALEMON ST
Second Line	:	SUITE 11B
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4747
Country	:	US
Telephone Number	:	718-802-1565
Fax Number	:	718-624-7837

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	03/18/2011

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