Individual
VEERANNA MADDIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,M.B:B.S
Contact information
Practice address
521 MOYE BLVD, GREENVILLE, NC 27834-2849
(252) 744-1600
(252) 744-1115
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
336.089280
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2015-01192
NC
207RP1001X
Pulmonary Disease Physician
Primary
2015-01192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700033164
—
NC
01
—
19CZH
BCBSNC
NC
Enumeration date
08/27/2008
Last updated
02/20/2024
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