Organization
SAI VITTALA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMAKRISHNA VELURI (MD)
(682) 477-3534
Entity
Organization
Contact information
Practice address
5560 MESA SPRINGS DR, FORT WORTH, TX 76123-2120
(817) 292-4600
Mailing address
2600 E SOUTHLAKE BLVD STE 120354, SOUTHLAKE, TX 76092-6634
(682) 477-3534
(682) 477-3602
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q3302
MEDICAL LICENSE
TX
Enumeration date
05/26/2015
Last updated
03/07/2023
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