MEDICARE: DR. NELSON E. VELAZQUEZ DO

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	207N00000X	Dermatology Physician	1500	WV
2	207N00000X	Dermatology Physician	H82265	MD
3	207NP0225X	Pediatric Dermatology Physician	1500	WV
4	207ND0101X	MOHS-Micrographic Surgery Physician	1500	WV
5	207NS0135X	Procedural Dermatology Physician	1500	WV

Other Identifiers

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

General Provider Information

NPI Number	:	1730189747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NELSON E. VELAZQUEZ DO

Provider Business Mailing Address
First Line	:	148 LINDEN DR STE 101
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-6902
Country	:	US
Telephone Number	:	540-504-0066
Fax Number	:	540-678-9025

Provider Business Practice Location Address
First Line	:	94 BROOKSHIRE LANE
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-6765
Country	:	US
Telephone Number	:	304-252-2673
Fax Number	:	304-929-2350

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

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	06/03/2026

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Directions to “ DR. NELSON E. VELAZQUEZ DO” Practice Location

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