Provider Demographics
NPI:1417007576
Name:VEENA MUMMANENI AND AFSHAN GHIAI OBGYN MED. GRP. INC.
Entity Type:Organization
Organization Name:VEENA MUMMANENI AND AFSHAN GHIAI OBGYN MED. GRP. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VEENA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MUMMANENI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-983-0208
Mailing Address - Street 1:1700 N ROSE AVE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-3790
Mailing Address - Country:US
Mailing Address - Phone:805-983-0208
Mailing Address - Fax:805-981-0565
Practice Address - Street 1:1700 N ROSE AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-3790
Practice Address - Country:US
Practice Address - Phone:805-983-0208
Practice Address - Fax:805-981-0565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP32366207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0098930Medicaid
CAW16975Medicare ID - Type UnspecifiedGROUP ID NUMBER