Individual
VIJAYA L VELAGAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128-2412
(215) 487-4139
(215) 483-8187
Mailing address
115 GLENWOOD RD, MERION STATION, PA 19066-1305
(215) 380-1023
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD054145L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001518221
—
PA
Enumeration date
09/28/2006
Last updated
08/15/2011
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