Individual
VEERA PAVULURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 MADISON NORTH DR, MACON, GA 31220-7626
(973) 204-9230
Mailing address
132 MADISON NORTH DR, MACON, GA 31220-7626
(973) 204-9230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301091402
MI
207R00000X
Internal Medicine Physician
Primary
4301091402
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01012510
HEALTHPLUS COMMERCIAL
MI
01
—
1034159
MCLAREN
MI
01
—
1037015
MCLAREN
MI
01
—
1105910542
BCBSM
MI
01
—
200000017905
PHP COMMERCIAL
MI
01
—
P00678941
RAILROAD MEDICARE
MI
Enumeration date
04/11/2008
Last updated
01/17/2019
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