Healthcare Provider Details

I. General information

NPI: 1316366537
Provider Name (Legal Business Name): PRIYA D. VELU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST # F540
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

525 E 68TH ST # F540
NEW YORK NY
10065-4870
US

V. Phone/Fax

Practice location:
  • Phone: 858-531-7468
  • Fax:
Mailing address:
  • Phone: 858-531-7468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License Number2968958-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License Number298958-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: