Individual
DR. PRAVEENA GANNI VELAMATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 BESTGATE RD, SUITE 2A, ANNAPOLIS, MD 21401
(410) 224-2116
(410) 224-2118
Mailing address
820 BESTGATE ROAD, SUITE 2B, ANNAPOLIS, MD 21401
(410) 224-2116
(410) 224-2118
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0066902
MD
207RG0100X
Gastroenterology Physician
P19619
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415006600
—
MD
Enumeration date
01/03/2007
Last updated
11/02/2011
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