Provider Demographics
NPI:1780627349
Name:DR. VANI VELAMATI,MD.PA
Entity type:Organization
Organization Name:DR. VANI VELAMATI,MD.PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VANI
Authorized Official - Middle Name:
Authorized Official - Last Name:VELAMATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-378-0046
Mailing Address - Street 1:3224 SLEEPY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3409
Mailing Address - Country:US
Mailing Address - Phone:972-378-0046
Mailing Address - Fax:
Practice Address - Street 1:920 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-3132
Practice Address - Country:US
Practice Address - Phone:940-553-2856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6268174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF70014OtherUPIN
TXC18424Medicare UPIN
TX00823YMedicare PIN