Provider Demographics
NPI:1932250982
Name:V.R VEERAPALLI M.D PC.,
Entity Type:Organization
Organization Name:V.R VEERAPALLI M.D PC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEMATOLOGY ONCOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:VENKATESWAR
Authorized Official - Middle Name:RAO
Authorized Official - Last Name:VEERAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-842-7510
Mailing Address - Street 1:9615 CHAMPION CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4402
Mailing Address - Country:US
Mailing Address - Phone:703-842-7510
Mailing Address - Fax:703-650-9517
Practice Address - Street 1:9615 CHAMPION CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4402
Practice Address - Country:US
Practice Address - Phone:703-842-7510
Practice Address - Fax:703-650-9517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058298174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA183558OtherANTHEM BLUECROSS AND BLUE
VA=========Medicaid
VA183558OtherANTHEM BLUECROSS AND BLUE
C09687Medicare ID - Type Unspecified