Doctor Name: | KAVITHA VELICHETI |
NPI Number: | 1033310404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25MA07999700 |
Business Practice Address: | 65 James St Edison, NJ - 08818 |
Business Phone Number: | 7323217010 |
Business Fax Number: | 7327445873 |
Mailing Address: | 65 James St, EDISON |
State: | NJ |
Postal Code: | 08818 |
Phone Number: | 7323217010 |
Fax Number: | 7327445873 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084N0402X |
License Number: | 25MA07999700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Neurology with Special Qualifications in Child Neurology |
Taxonomy Definition: | A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |