Provider Demographics
NPI:1669494571
Name:VEERARAGHAVAN, PADMINI (MD)
Entity Type:Individual
Prefix:
First Name:PADMINI
Middle Name:
Last Name:VEERARAGHAVAN
Suffix:
Gender:F
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:PO BOX 5520
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-0520
Mailing Address - Country:US
Mailing Address - Phone:610-954-5810
Mailing Address - Fax:610-954-5480
Practice Address - Street 1:421 CHEW ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3406
Practice Address - Country:US
Practice Address - Phone:610-776-4540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY39707207L00000X
PAMD460758207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY611427889OtherUNITED HEALTHCARE
KY64123854Medicaid
KY611427889OtherCHA
KY611427889OtherTRICARE
KY611427889OtherHUMANA
KY030670000OtherBLACK LUNG
KY50011224OtherPASSPORT HEALTHCARE
KY611427889OtherBLUEGRASS FAMILY HEALTHCA
KYC20362OtherCUMBERLAND HEALTHCARE INC
KY000000484809OtherANTHEM
KY611427889OtherCHA
KYI58440Medicare UPIN