Individual
DR. NANDAKUMAR B VELLANKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8850 COLUMBIA 100 PKWY, STE 301, COLUMBIA, MD 21045-2377
(301) 560-4747
(301) 776-1725
Mailing address
7350 VAN DUSEN RD, STE 130, LAUREL, MD 20707-5267
(301) 560-4747
(301) 776-1725
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D30469
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398281500
—
MD
Enumeration date
07/04/2006
Last updated
11/14/2017
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