National Provider Identifier
Umamaheswara Rao Vejendla Physician PC
Umamaheswara Rao Vejendla Physician PC is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Jamestown, NY and a listed phone number of (716) 664-5290.
Profile Overview
- NPI
- 1053429829
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- August 29, 2006
- Last Updated
- March 13, 2024
Practice Location
- 152 Foote Ave
- Jamestown, NY 14701-6940
Phone: (716) 664-5290
Specialties
- Internal Medicine Physician (207R00000X)
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
Full Record
- NPI
- 1053429829
- Entity Type
- Individual
- Last Name
- Vejendla Physician PC
- First Name
- Umamaheswara
- Middle Name
- Rao
- Mailing Street Address
- 152 Foote Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6940
- Mailing Country
- US
- Mailing Phone
- (716) 664-5290
- Mailing Fax
- (716) 664-7630
- Practice Street Address
- 152 Foote Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6940
- Practice Country
- US
- Practice Phone
- (716) 664-5290
- Practice Fax
- (716) 664-7630
- Enumeration Date
- August 29, 2006
- Last Updated
- March 13, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 13, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
- Other Identifiers
- 040426003867 (NY, Fidelis), 21017301 (NY, Univera), 52060000 (NY, Univera SR. Shoice), 0410963 (NY, Independent Health), 02050080 (NY), 525874001 (NY, Blue Cross), 161070314 (NY, Nova)