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NPI Code Detail

MEDICARE: VIJAYA L VELAGAPUDI M.D.

MEDICARE: VIJAYA L VELAGAPUDI 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 PhysicianMD054145LPA

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 : 1962594093
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIJAYA L VELAGAPUDI M.D.
Provider Business Mailing Address
First Line : 115 GLENWOOD RD
Second Line :
City : MERION STATION
State : PA
Zip : 19066-1305
Country : US
Telephone Number : 215-380-1023
Fax Number :
Provider Business Practice Location Address
First Line : 561 FAIRTHORNE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-2412
Country : US
Telephone Number : 215-487-4139
Fax Number : 215-483-8187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 08/15/2011

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Directions to “ VIJAYA L VELAGAPUDI M.D.” Practice Location

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