Basic Information
Provider Information | |||||||||
NPI: | 1588998397 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | VELAMURI | ||||||||
FirstName: | NARASIMHESWARA | ||||||||
MiddleName: | SARMA | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | VELAMURI | ||||||||
OtherFirstName: | SARMA | ||||||||
OtherMiddleName: | N | ||||||||
OtherNamePrefix: | DR. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | M.D | ||||||||
OtherLastNameType: | 5 | ||||||||
Mailing Information | |||||||||
Address1: | 4545 POST OAK PLACE DR | ||||||||
Address2: | SUITE 130 | ||||||||
City: | HOUSTON | ||||||||
State: | TX | ||||||||
PostalCode: | 770273164 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7139608008 | ||||||||
FaxNumber: | 7139600965 | ||||||||
Practice Location | |||||||||
Address1: | 4545 POST OAK PLACE DR STE 130 | ||||||||
Address2: | IPC | ||||||||
City: | HOUSTON | ||||||||
State: | TX | ||||||||
PostalCode: | 770273133 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7139608008 | ||||||||
FaxNumber: | 7139600965 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 09/25/2009 | ||||||||
LastUpdateDate: | 10/18/2012 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | Y | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | P2078 | TX | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine |   |
No ID Information.