Provider Demographics
NPI:1992738744
Name:VELIGATI, PADMAVATHI (MD)
Entity type:Individual
Prefix:DR
First Name:PADMAVATHI
Middle Name:
Last Name:VELIGATI
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 1:901 HEARTLAND RD
Mailing Address - Street 2:SUITE 2800
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-6200
Mailing Address - Country:US
Mailing Address - Phone:816-271-1250
Mailing Address - Fax:816-271-1297
Practice Address - Street 1:901 HEARTLAND RD
Practice Address - Street 2:SUITE 2800
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-6200
Practice Address - Country:US
Practice Address - Phone:816-271-1250
Practice Address - Fax:816-271-1297
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO115984207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203807805Medicaid
P00036083OtherRAILROAD MEDICARE
KS10032480BMedicaid
10001058401OtherCOMMUNITY HEALTH PLAN
MO25116020OtherBLUE CROSS BLUE SHIELD
665830OtherFIRSTGUARD
5361651OtherAETNA
MO465448OtherCHILDRENS MERCY FAMILY HEALTH
301531OtherHEALTHLINK
44054528964506V012OtherTRICARE/CHAMPUS
5361651OtherAETNA
MO203807805Medicaid