Organization
INFECTIOUS DISEASES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAILAJA VELIGANDLA M.D. (OWNER)
(606) 325-0011
Entity
Organization
Contact information
Practice address
2301 LEXINGTON AVE, SUITE 100, ASHLAND, KY 41101-2873
(606) 325-0011
Mailing address
2301 LEXINGTON AVE, SUITE 100, ASHLAND, KY 41101-2873
(606) 325-0011
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
40111
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2652053
—
OH
Enumeration date
12/22/2006
Last updated
08/22/2020
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