Provider Demographics
NPI:1851374367
Name:VEERAMACHANENI, MURALI (MD,PA)
Entity Type:Individual
Prefix:
First Name:MURALI
Middle Name:
Last Name:VEERAMACHANENI
Suffix:
Gender:M
Credentials:MD,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CARE CIR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-2118
Mailing Address - Country:US
Mailing Address - Phone:806-354-8300
Mailing Address - Fax:806-354-9962
Practice Address - Street 1:22 CARE CIR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-2118
Practice Address - Country:US
Practice Address - Phone:806-354-8300
Practice Address - Fax:806-354-9962
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK50232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113594902Medicaid
TX113594901Medicaid
TX82580KMedicare PIN
TX00588DMedicare ID - Type UnspecifiedMEDICARE
TXG42276Medicare UPIN