Provider Demographics
NPI:1962590158
Name:VENKATESWARAR VOLETI
Entity type:Organization
Organization Name:VENKATESWARAR VOLETI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VENKATESWARARAO
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLETI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-374-2525
Mailing Address - Street 1:700 MCCLELLAN ST
Mailing Address - Street 2:ST. CLARE'S MEDICAL ARTS BLDG, SUITE103
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1019
Mailing Address - Country:US
Mailing Address - Phone:518-374-2525
Mailing Address - Fax:518-374-2533
Practice Address - Street 1:700 MCCLELLAN ST
Practice Address - Street 2:ST. CLARE'S MEDICAL ARTS BLDG, SUITE103
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1019
Practice Address - Country:US
Practice Address - Phone:518-374-2525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1553511207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01775873Medicaid
NY56769AMedicare PIN
NY56769AMedicare PIN