Provider Demographics
NPI:1770088973
Name:VELET, LILIYA PETROVNA (MD)
Entity type:Individual
Prefix:
First Name:LILIYA
Middle Name:PETROVNA
Last Name:VELET
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 1:1450 MATTHEWS TOWNSHIP PKWY STE 350
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-2388
Mailing Address - Country:US
Mailing Address - Phone:704-841-8877
Mailing Address - Fax:704-841-8188
Practice Address - Street 1:1450 MATTHEWS TOWNSHIP PKWY STE 350
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-2388
Practice Address - Country:US
Practice Address - Phone:704-841-8877
Practice Address - Fax:704-841-8188
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-02969208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology