Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0101058298 | VA |
Y | 111NI0900X | Internist | 0101058298 | VA |
N | 207RH0000X | Hematologist | MD437637 | PA |
NPI | 1164643300 |
---|---|
Provider Name | Venkateswar R Veerapalli |
First Address | Great Falls, VA 22066-1538 |
Second Address | Ashburn, VA 20147-4074 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G87536 | (02) | VA |