Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | D91319 | MD |
NPI | 1124550611 |
---|---|
Provider Name | Kavya Veluvolu |
First Address | Baltimore, MD 21220-2004 |
Second Address | Baltimore, MD 21224-2734 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2017 |
Last Update Date | 07/07/2021 |