Individual
PRASHANTHI VELUDANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1309 N ELM ST, GREENSBORO, NC 27401-1005
(336) 544-5400
(336) 544-5401
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017-02045
NC
207R00000X
Internal Medicine Physician
Primary
2017-02045
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417397100
—
NC
01
—
19T6A
BCBS OF NC
NC
01
—
NN0300A
MEDICARE
NC
Enumeration date
06/27/2013
Last updated
09/24/2024
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