Provider Demographics
NPI:1598794893
Name:VELIGETI, HARI VEENA (MD)
Entity Type:Individual
Prefix:
First Name:HARI
Middle Name:VEENA
Last Name:VELIGETI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HARI
Other - Middle Name:
Other - Last Name:GOLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:601 S CARLIN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-1044
Mailing Address - Country:US
Mailing Address - Phone:703-717-7000
Mailing Address - Fax:703-717-7010
Practice Address - Street 1:601 S CARLIN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-1044
Practice Address - Country:US
Practice Address - Phone:703-717-7000
Practice Address - Fax:703-717-7010
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239145174400000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0-580-709-4OtherECFMG
0-580-709-4OtherECFMG