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NPI Code Detail

MEDICARE: NAGARAJU VEERAMACHANENI MD

MEDICARE: NAGARAJU VEERAMACHANENI 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
1207R00000XInternal Medicine Physician24392AZ

Other Identifiers

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

General Provider Information

NPI Number : 1639168487
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAGARAJU VEERAMACHANENI MD
Provider Business Mailing Address
First Line : 5150 N 16TH ST
Second Line : STE B232
City : PHOENIX
State : AZ
Zip : 85016-3990
Country : US
Telephone Number : 623-298-1744
Fax Number : 623-298-1738
Provider Business Practice Location Address
First Line : 3115 S PRICE RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85248-3544
Country : US
Telephone Number : 888-488-7640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 03/07/2023

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