Provider Demographics
NPI:1285041129
Name:VELAMASETTI, SAROJINI KALA (MD)
Entity Type:Individual
Prefix:
First Name:SAROJINI
Middle Name:KALA
Last Name:VELAMASETTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2634 GOLLIHAR RD STE C
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78415-5259
Mailing Address - Country:US
Mailing Address - Phone:361-853-3995
Mailing Address - Fax:361-853-9702
Practice Address - Street 1:2634 GOLLIHAR RD STE C
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-5259
Practice Address - Country:US
Practice Address - Phone:361-853-3995
Practice Address - Fax:361-853-9702
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-43675207Q00000X
TXR9312207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAMD-43675OtherSTATE LICENSE
TXR9312OtherSTATE LICENSE