Provider Demographics
NPI:1164473526
Name:VOLETI, VENKATESWARARAO (MD)
Entity Type:Individual
Prefix:
First Name:VENKATESWARARAO
Middle Name:
Last Name:VOLETI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:VRAO
Other - Middle Name:
Other - Last Name:VOLETI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:700 MCCLELLAN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1019
Mailing Address - Country:US
Mailing Address - Phone:518-374-2525
Mailing Address - Fax:518-742-5333
Practice Address - Street 1:700 MCCLELLAN ST STE 103
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1019
Practice Address - Country:US
Practice Address - Phone:518-374-2525
Practice Address - Fax:518-374-2533
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155351207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00869021Medicaid
NY11156OtherMVP
NYCDPHP 10003005OtherCDPHP
NYCDPHP 10003005OtherCDPHP
NY11156OtherMVP