Individual
DR. KRANTHI VEERAMACHANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5580 W FLAMINGO RD, LAS VEGAS, NV 89103-0111
(702) 876-4449
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 560-2886
(702) 560-2928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13510
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093923526
SMA MEDICAID
NV
01
—
V108178
SMA MEDICARE
NV
Enumeration date
05/18/2007
Last updated
06/06/2016
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