Doctor Name: | DR. HIMACHALA R. VELIGANDLA |
NPI Number: | 1023065927 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 40110 |
Business Practice Address: | 5000 Ky Route 321 Prestonsburg, KY - 416539113 |
Business Phone Number: | 6068896210 |
Business Fax Number: | 6068896291 |
Mailing Address: | Po Box 406, PRESTONSBURG |
State: | KY |
Postal Code: | 416530406 |
Phone Number: | 6068896210 |
Fax Number: | 6068896291 |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 40110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |