Provider Demographics
NPI:1841335445
Name:V K MARELLA MD PC
Entity type:Organization
Organization Name:V K MARELLA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KOTESWARARAO
Authorized Official - Middle Name:VENKATA
Authorized Official - Last Name:MARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-258-9000
Mailing Address - Street 1:3735 EASTON NAZARETH HWY
Mailing Address - Street 2:STE 202
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8338
Mailing Address - Country:US
Mailing Address - Phone:610-258-9000
Mailing Address - Fax:610-258-9702
Practice Address - Street 1:3735 EASTON NAZARETH HWY
Practice Address - Street 2:STE 202
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8338
Practice Address - Country:US
Practice Address - Phone:610-258-9000
Practice Address - Fax:610-258-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty