Provider Demographics
NPI:1104893759
Name:GIRI, VEDA (MD)
Entity type:Individual
Prefix:
First Name:VEDA
Middle Name:
Last Name:GIRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 CEDAR ST # 214A
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3206
Mailing Address - Country:US
Mailing Address - Phone:203-785-7695
Mailing Address - Fax:215-955-2340
Practice Address - Street 1:333 CEDAR ST # 214A
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:475-301-5645
Practice Address - Fax:215-955-2340
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424290174400000X, 207RX0202X
CT73023207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011188590001Medicaid
NJ0049000Medicaid
PA084186Medicare PIN
I18581Medicare UPIN
NJ0049000Medicaid