Doctor Name: | KAMAKSHI VEMAREDDY |
NPI Number: | 1851588214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 41 Brewster Rd # Leveld Bristol, CT - 060105161 |
Business Phone Number: | 8605853295 |
Business Fax Number: | 8605853375 |
Mailing Address: | Po Box 2828, BRISTOL |
State: | CT |
Postal Code: | 060112828 |
Phone Number: | 8605853906 |
Fax Number: | 8605853907 |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 03/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |