Individual
VENKATESWARA VELAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 CANTON ST, HOPKINSVILLE, KY 42240-1924
(270) 886-0251
(270) 886-0252
Mailing address
PO BOX 548, HOPKINSVILLE, KY 42241-0548
(270) 886-0251
(270) 886-0252
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
31612
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64316128
—
KY
Enumeration date
04/25/2006
Last updated
09/19/2014
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