Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME104390 | FL |
NPI | 1023065927 |
---|---|
Provider Name | Dr. Himachala R. Veligandla |
First Address | Inverness, FL 34452-4716 |
Second Address | Ocala, FL 34471-7734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 17/04/2019 |