Doctor Name: | DR. VEENA RANI MAMIDI |
NPI Number: | 1104016054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | C7-0003874 |
Business Practice Address: | 1521 West 13th Street Clovis, NM - 88101 |
Business Phone Number: | 5757690888 |
Business Fax Number: | 5757639154 |
Mailing Address: | 1515 West Fir, PORTALES |
State: | NM |
Postal Code: | 88130 |
Phone Number: | 5753566695 |
Fax Number: | 5753565948 |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | C7-0003874 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |