Provider Demographics
NPI:1154391126
Name:VELOOR, SUSHMITA (MD)
Entity type:Individual
Prefix:DR
First Name:SUSHMITA
Middle Name:
Last Name:VELOOR
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 1:634 SW MULVANE ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1678
Mailing Address - Country:US
Mailing Address - Phone:785-357-6300
Mailing Address - Fax:785-357-6324
Practice Address - Street 1:634 SW MULVANE ST
Practice Address - Street 2:SUITE 401
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1678
Practice Address - Country:US
Practice Address - Phone:785-357-6300
Practice Address - Fax:785-357-6324
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-30758208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200304710AMedicaid
KSH93866Medicare UPIN
KS200304710AMedicaid