Doctor Name: | DR. RAVI K VELURI |
NPI Number: | 1013136605 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101045674 |
Business Practice Address: | 4810 Beauregard St Ste 206b Alexandria, VA - 223121730 |
Business Phone Number: | 7039161211 |
Business Fax Number: | 7039161213 |
Mailing Address: | 4810 Beauregard St Ste 206b, ALEXANDRIA |
State: | VA |
Postal Code: | 223121730 |
Phone Number: | 7039161211 |
Fax Number: | 7039161213 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 0101045674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |