Individual
DR. UMAMAHESWARA RAO VELLANKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3162 EL CAMINO DR, SPRINGFIELD, OH 45503-1318
(937) 342-9030
(937) 342-9039
Mailing address
3162 EL CAMINO DR, SPRINGFIELD, OH 45503-1318
(937) 342-9030
(937) 342-9039
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35063060
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0718628
MEDICARE IDENTIFICATION
OH
05
—
0879492
—
OH
Enumeration date
11/12/2006
Last updated
03/02/2012
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