Provider Demographics
NPI:1740475862
Name:VENKAT VEERAPPAN MD PC
Entity type:Organization
Organization Name:VENKAT VEERAPPAN MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VENKATACHALAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VEERAPPAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-732-2600
Mailing Address - Street 1:PO BOX 370231
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89137-0231
Mailing Address - Country:US
Mailing Address - Phone:702-732-2600
Mailing Address - Fax:702-732-2622
Practice Address - Street 1:9280 W. SUNSET RD
Practice Address - Street 2:SUITE 236
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4861
Practice Address - Country:US
Practice Address - Phone:702-732-2600
Practice Address - Fax:702-732-2622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV104981Medicare PIN