ANIL VELUVOLU (NPI# 1124174644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124174644 |
| Entity Type | Individual |
| Full Name | ANIL VELUVOLU |
| Credential | MD |
| Practice Address |
2600 Kings Hwy Suite 340 Shreveport LA 71103-3950 |
| Practice Telephone | 3182128620 |
| Practice Fax Number | 3182128013 |
| Mailing Telephone | 3182128620 |
| Mailing Fax Number | 3182128013 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
025566 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1578941 | 05 |
| Street Address |
2600 KINGS HWY SUITE 340 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439863 | Michael Leonard Durci | Radiology | 2600 Kings Hwy, Willis Knighton Cancer Center, Shreveport, LA 71103-3950 | 2005-06-28 |
| 1922478304 | Wk Radiation Oncology Services | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2015-09-29 |
| 1932578820 | Amanda Lyn Hayes | Nurse Practitioner | 2600 Kings Hwy, #420, Shreveport, LA 71103-3950 | 2015-09-21 |
| 1659767127 | Sergio Jaramillo | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2015-04-11 |
| 1457615395 | Chiachien Jake Wang | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2012-06-26 |
| 1528330305 | Andrea Marie Moore | Clinical Nurse Specialist | 2600 Kings Hwy, Suite 340, Shreveport, LA 71103-3950 | 2012-02-08 |
| 1093006603 | Daniella Phuong-di Dang | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2011-04-29 |
| 1548448442 | Robin Ann Lacour | Obstetrics & Gynecology | 2600 Kings Hwy, Suite 420, Shreveport, LA 71103-3950 | 2008-02-04 |
| 1740493923 | Wk Gynecologic Oncology Clinic | Obstetrics & Gynecology | 2600 Kings Hwy, Suite 420, Shreveport, LA 71103-3950 | 2007-05-07 |
| 1306062625 | Destin R. Black | Obstetrics & Gynecology | 2600 Kings Hwy, Suite 420, Shreveport, LA 71103-3950 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437449949 | Tyler Donald Lash | Internal Medicine | 2600 Kings Hwy Ste 340, Shreveport, LA 71103-3951 | 2011-04-18 |
| 1528279965 | Kirtan Nalin Koticha | Internal Medicine | 1455 E Bert Koun Loop # 101, Shreveport, LA 71105-5634 | 2007-05-25 |
| 1245239342 | Ben H Quinney Jr. | Internal Medicine | 850 Olive St Ste A, Shreveport, LA 71104-2162 | 2005-07-20 |
| 1427056456 | Philip Assaad Haddad | Internal Medicine | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2005-07-13 |
| 1225442254 | Poornima Ramadas | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2014-06-18 |
| 1477841682 | Samip Rajendra Master | Internal Medicine | 1501 Kings Hwy, Hematology/oncology, Shreveport, LA 71103-4228 | 2011-07-21 |
| 1649561473 | Ashish Dutta Dwary | Internal Medicine | 1501 Kings Hwy, Hematology/oncology, Shreveport, LA 71103-4228 | 2011-04-27 |
| 1568694321 | Kavitha Beedupalli | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2009-08-12 |
| 1275776718 | Kevin Gallagher | Internal Medicine | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2009-04-14 |
| 1447271739 | Richard Preston Mansour | Internal Medicine | 1501 Kings Hwy, Department of Medicine Hematology, Shreveport, LA 71103-4228 | 2006-07-21 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.