Provider Demographics
NPI:1932516432
Name:ASHA VELISETTY MD
Entity Type:Organization
Organization Name:ASHA VELISETTY MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELISETTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-237-5115
Mailing Address - Street 1:3309 SW 34TH CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-3311
Mailing Address - Country:US
Mailing Address - Phone:352-237-5115
Mailing Address - Fax:352-237-4931
Practice Address - Street 1:3309 SW 34TH CIR STE 100
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-3311
Practice Address - Country:US
Practice Address - Phone:352-237-5115
Practice Address - Fax:352-237-4931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42192OtherMEDICARE ID
FL42192OtherMEDICARE ID