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NPI Code Detail

MEDICARE: RAMAKRISHNA VELURI M.D

MEDICARE: RAMAKRISHNA VELURI 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 Physician036.154993IL
22084P0800XPsychiatry PhysicianQ3302TX

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 : 1033525050
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMAKRISHNA VELURI M.D
Provider Business Mailing Address
First Line : 2600 E SOUTHLAKE BLVD STE 120354
Second Line :
City : SOUTHLAKE
State : TX
Zip : 76092-6634
Country : US
Telephone Number : 682-477-3534
Fax Number : 682-477-3602
Provider Business Practice Location Address
First Line : 5560 MESA SPRINGS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-2120
Country : US
Telephone Number : 682-477-3534
Fax Number : 682-477-3602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2014
Last Update Date : 03/05/2025

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