Provider Demographics
NPI:1013000355
Name:VELMAHOS, VASILIOS (MD)
Entity Type:Individual
Prefix:DR
First Name:VASILIOS
Middle Name:
Last Name:VELMAHOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3946
Mailing Address - Country:US
Mailing Address - Phone:732-906-1900
Mailing Address - Fax:732-906-6666
Practice Address - Street 1:113 JAMES ST
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3946
Practice Address - Country:US
Practice Address - Phone:732-906-1900
Practice Address - Fax:732-906-6666
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA055050207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6168205Medicaid
NJ6168205Medicaid
NJ681493PAXMedicare ID - Type Unspecified