Provider Demographics
NPI:1578796207
Name:VELAGAPUDI, KRISHNA NAAG (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISHNA NAAG
Middle Name:
Last Name:VELAGAPUDI
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 1:110 N 29TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4466
Mailing Address - Country:US
Mailing Address - Phone:402-844-8284
Mailing Address - Fax:
Practice Address - Street 1:110 N 29TH ST STE 301
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4466
Practice Address - Country:US
Practice Address - Phone:402-844-8284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE29228207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease