MEDICARE: DR. VIJAY SAI VEERAPANENI MD

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	4301115889	MI
2	207R00000X	Internal Medicine Physician	85416	SC

General Provider Information

NPI Number	:	1376038422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIJAY SAI VEERAPANENI MD

Provider Business Mailing Address
First Line	:	9206 SAPPHIRE CREEK PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33637-6600
Country	:	US
Telephone Number	:	843-450-6611
Fax Number	:

Provider Business Practice Location Address
First Line	:	40100 US-27
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837
Country	:	US
Telephone Number	:	863-422-4971
Fax Number	:

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

Provider Enumeration Date	:	06/29/2018
Last Update Date	:	12/16/2025

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