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NPI Code Detail

MEDICARE: DR. VAMSHI KRISHNA MYNENI M.D

MEDICARE: DR. VAMSHI KRISHNA MYNENI 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
12084P0800XPsychiatry Physician35132664OH

General Provider Information

NPI Number : 1386987550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VAMSHI KRISHNA MYNENI M.D
Provider Business Mailing Address
First Line : 11100 EUCLID AVE
Second Line : UNIVERSITY HOSPITALS OF CLEVELAND
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-3880
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line : UNIVERSITY HOSPITALS OF CLEVELAND
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-3880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2013
Last Update Date : 06/15/2026

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