Provider Demographics
NPI:1609109792
Name:VEERAMACHANENI, HARITHA BODDULURI (MD)
Entity Type:Individual
Prefix:MRS
First Name:HARITHA
Middle Name:BODDULURI
Last Name:VEERAMACHANENI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:999 FRANKLIN AVE, STE. 300
Mailing Address - Street 2:LONG ISLAND PLASTIC SURGICAL GROUP P.C
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530
Mailing Address - Country:US
Mailing Address - Phone:516-742-3404
Mailing Address - Fax:516-353-6734
Practice Address - Street 1:999 FRANKLIN AVE, STE. 300
Practice Address - Street 2:LONG ISLAND PLASTIC SURGICAL GROUP P.C
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530
Practice Address - Country:US
Practice Address - Phone:516-742-3404
Practice Address - Fax:516-353-6734
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2015-03-25
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Provider Licenses
StateLicense IDTaxonomies
NY275292-12086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery