MEDICARE: VENKATA MANI CHAITANYA PEDDI 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	207R00000X	Internal Medicine Physician	MD484751	PA

General Provider Information

NPI Number	:	1154991347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VENKATA MANI CHAITANYA PEDDI MD

Provider Business Mailing Address
First Line	:	CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-4106
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-2442
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

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

Provider Enumeration Date	:	06/29/2021
Last Update Date	:	04/22/2025

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