Individual
VEERAIAH C PERNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 W 5TH ST, EAST LIVERPOOL, OH 43920-2405
(330) 286-5330
(330) 286-5396
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3542003P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007419600005
—
PA
05
—
0365797
—
OH
01
—
106076VGE
MEDICARE PTAN
PA
01
—
10830301
CAQH
—
01
—
PENDING
MEDICARE PTAN
OH
Enumeration date
09/13/2005
Last updated
03/17/2018
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