Provider Demographics
NPI:1013226919
Name:VELAGAPUDI, MANASA (M D)
Entity type:Individual
Prefix:DR
First Name:MANASA
Middle Name:
Last Name:VELAGAPUDI
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 HARDING PL STE 2100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2826
Mailing Address - Country:US
Mailing Address - Phone:704-331-9669
Mailing Address - Fax:704-688-0035
Practice Address - Street 1:1225 HARDING PL STE 2100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2826
Practice Address - Country:US
Practice Address - Phone:704-331-9669
Practice Address - Fax:704-688-0035
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27437207R00000X, 207RI0200X
NC324584207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE098611194Medicare PIN