Provider Demographics
NPI:1811174428
Name:VELKURU, VANI (MD)
Entity type:Individual
Prefix:
First Name:VANI
Middle Name:
Last Name:VELKURU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1999 MOWRY AVE
Mailing Address - Street 2:SUITE 2 - I
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1738
Mailing Address - Country:US
Mailing Address - Phone:510-991-7508
Mailing Address - Fax:510-991-7503
Practice Address - Street 1:1999 MOWRY AVE
Practice Address - Street 2:SUITE 2 - I
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1738
Practice Address - Country:US
Practice Address - Phone:510-991-7508
Practice Address - Fax:510-991-7503
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA96902207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology