Provider Demographics
NPI:1306045612
Name:MAANY, VEDA (MD)
Entity type:Individual
Prefix:
First Name:VEDA
Middle Name:
Last Name:MAANY
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 1:1043 GREEN LANE RD
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-8629
Mailing Address - Country:US
Mailing Address - Phone:917-566-1904
Mailing Address - Fax:
Practice Address - Street 1:WEST CHESTER UNIVERSITY STUDENT HEALTH SERVICES
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19383-1635
Practice Address - Country:US
Practice Address - Phone:610-436-2509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD435700208D00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice