Individual
DR. ABHISHEK VEDAVALLI
Active
Individual
DR. ABHISHEK VEDAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S, MPH, MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01076305A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036125370
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
P6293
TX
207RP1001X
Pulmonary Disease Physician
036125370
IL
207RP1001X
Pulmonary Disease Physician
P6293
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201340130
—
IN
01
—
940670108
MEDICARE
IN
Enumeration date
10/22/2009
Last updated
06/12/2025
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