Provider Demographics
NPI:1215928213
Name:VELLANKI, APARNA (MD)
Entity type:Individual
Prefix:
First Name:APARNA
Middle Name:
Last Name:VELLANKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:ATTN: ELLEN
Mailing Address - City:GRAMERCY
Mailing Address - State:LA
Mailing Address - Zip Code:70052-0419
Mailing Address - Country:US
Mailing Address - Phone:225-869-9200
Mailing Address - Fax:225-869-9241
Practice Address - Street 1:502 RUE DE SANTE
Practice Address - Street 2:SUITE 206
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-5424
Practice Address - Country:US
Practice Address - Phone:985-652-7774
Practice Address - Fax:985-652-7764
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA14596R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA7312657OtherAETNA
LA057843586AOtherBLUE CROSS/BLUE SHIELD
LA193870OtherMEDICARE RURAL HEALTH
LA193875OtherMEDICARE RURAL HEALTH
LAP00426006OtherRAILROAD MEDICARE
LA1131385Medicaid
LA04-02549OtherUNITED HEALTH CARE
LA1448800OtherMEDICAID RURAL HEALTH
LA5CE42OtherMEDICARE GROUP
LA1457621OtherMEDICAID RURAL HEALTH
LA7312657OtherAETNA
LA$$$$$$$$$0OtherBLUE CROSS
LA1457621OtherMEDICAID RURAL HEALTH