Provider Demographics
NPI:1467456707
Name:KARUMANCHI, VEERAIAH C (MD)
Entity Type:Individual
Prefix:DR
First Name:VEERAIAH
Middle Name:C
Last Name:KARUMANCHI
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 1:502 W. 29TH STREET
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713
Mailing Address - Country:US
Mailing Address - Phone:520-884-9920
Mailing Address - Fax:520-682-4570
Practice Address - Street 1:502 W. 29TH STREET
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713
Practice Address - Country:US
Practice Address - Phone:520-884-9920
Practice Address - Fax:520-682-4132
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ163922084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ273839Medicaid
AZ273839Medicaid