MEDICARE: DR. VEERAIAH C KARUMANCHI 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	2084P0804X	Child & Adolescent Psychiatry Physician	16392	AZ

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	:	1467456707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VEERAIAH C KARUMANCHI MD

Provider Business Mailing Address
First Line	:	502 W. 29TH STREET
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85713
Country	:	US
Telephone Number	:	520-884-9920
Fax Number	:	520-682-4570

Provider Business Practice Location Address
First Line	:	502 W. 29TH STREET
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85713
Country	:	US
Telephone Number	:	520-884-9920
Fax Number	:	520-682-4132

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	05/02/2013

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