Individual
KRISHNA SASANK VELLANKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 WEST MARKHAM, SLOT 634, LITTLE ROCK, AR 72205
(501) 686-5545
Mailing address
4601 W MARKHAM ST APT 3081, LITTLE ROCK, AR 72205-3890
(501) 410-6472
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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