Provider Demographics
NPI:1427256700
Name:VELLANKI, VINITHA (MD)
Entity type:Individual
Prefix:DR
First Name:VINITHA
Middle Name:
Last Name:VELLANKI
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 1:200 MEDICAL CENTER CT
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77414-4733
Mailing Address - Country:US
Mailing Address - Phone:979-245-2421
Mailing Address - Fax:979-245-6263
Practice Address - Street 1:200 MEDICAL CENTER CT
Practice Address - Street 2:SUITE # 100
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-4733
Practice Address - Country:US
Practice Address - Phone:979-245-2421
Practice Address - Fax:979-245-6263
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1427207RN0300X, 207R00000X
390200000X
VA0116022238390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program