Basic Information
Provider Information
NPI: 1952889875
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VELU
FirstName: SINDHU
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 125 W WILSON BRIDGE RD APT 316
Address2:  
City: WORTHINGTON
State: OH
PostalCode: 430852597
CountryCode: US
TelephoneNumber: 6147175765
FaxNumber: 6145155779
Practice Location
Address1: 2540 BILLINGSLEY RD
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432351990
CountryCode: US
TelephoneNumber: 6146026473
FaxNumber: 6146026493
Other Information
ProviderEnumerationDate: 08/02/2018
LastUpdateDate: 03/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
171M00000X  N Other Service ProvidersCase Manager/Care Coordinator 
106S00000X OHY    

No ID Information.


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