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NPI Code Detail

MEDICARE: VED REHAB LLC

MEDICARE: VED REHAB LLC
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
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1073496758
Entity Type Code : Organization
Provider Name (Legal Business Name) : VED REHAB LLC
Provider Business Mailing Address
First Line : 2300 LAKEVIEW PKWY STE 700
Second Line :
City : ALPHARETTA
State : GA
Zip : 30009-9066
Country : US
Telephone Number : 802-735-0001
Fax Number :
Provider Business Practice Location Address
First Line : 1165 SANDERS RD
Second Line :
City : CUMMING
State : GA
Zip : 30041-5965
Country : US
Telephone Number : 802-735-0001
Fax Number :
Authorized Official
Title or Position : MD/OWNER
Name : KISHORE RASAMALLU
Credential :
Telephone Number : 210-379-8553
Provider Enumeration Date : 07/29/2025
Last Update Date : 04/02/2026

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Directions to “VED REHAB LLC ” Practice Location

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