1881154706 NPI number — NARESH KUMAR VEERABATTINI MD

Table of content: NARESH KUMAR VEERABATTINI MD (NPI 1881154706)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881154706 NPI number — NARESH KUMAR VEERABATTINI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VEERABATTINI
Provider First Name:
NARESH KUMAR
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881154706
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/25/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1155 MILL ST, RENOWN REGIONAL MEDICAL CENTER,
Provider Second Line Business Mailing Address:
W11 ACADEMIC DEPARTMENT OFFICES
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-327-5174
Provider Business Mailing Address Fax Number:
775-982-3900

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1155 MILL ST, RENOWN REGIONAL MEDICAL CENTER,
Provider Second Line Business Practice Location Address:
W11 ACADEMIC DEPARTMENT OFFICES
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-327-5174
Provider Business Practice Location Address Fax Number:
775-982-3900
Provider Enumeration Date:
03/25/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)