DR. VISHAAL VEERULA


Address: 7802 W. Jefferson Blvd. #b, Fort Wayne, IN 46804
Phone: 2609996924

DR. VISHAAL VEERULA (NPI# 1336441948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336441948
Entity Type Individual
Full Name DR. VISHAAL VEERULA
Credential MD
Practice Address 7802 W. Jefferson Blvd. #b
Fort Wayne
IN 46804
Mailing Address 330 N Wabash
Ste G20
Marion
IN 46952-2600
Practice Telephone 2609996924
Practice Fax Number 2602222844
Mailing Telephone 7656607600
Mailing Fax Number 7656517313
Enumeration Date 2010-12-02
Last Update Date 2020-01-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 01073223A IN Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 01073223A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201196050 05
IN ANTHEM 00000839085 01

Office Location

Street Address 7802 W. JEFFERSON BLVD. #B
City FORT WAYNE
State IN
Zip Code 46804

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
Find all providers in zip 46804

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053709402 Sheila Falloon Md LLC Internal Medicine 6232 Shady Creek Ct, Fort Wayne, IN 46814-3298 2015-01-07
1043644354 Fort Wayne Medical Clinic PC Internal Medicine 3537 N Anthony Blvd Ste C, Fort Wayne, IN 46805-1423 2013-08-23
1275975682 Lakshmi Mohan Viji Das Internal Medicine 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 2013-07-26
1215377296 Ram Kishun Verma Internal Medicine 1234 E Dupont Rd Ste 5, Fort Wayne, IN 46825 2013-07-05
1871840934 Amabel Pia A Lapuebla Internal Medicine 11104 Parkview Circle Dr Ste 440, Fort Wayne, IN 46845-1672 2012-08-08
1538432141 C & D Healthcare Services, LLC Internal Medicine 327 E Wayne St, Fort Wayne, IN 46802-2753 2012-02-13
1407141500 Patrick Joseph Wise Internal Medicine 6435 W Jefferson Blvd, Fort Wayne, IN 46804-6203 2011-06-16
1235438185 Blue Crescent Blue Star Medical of Indiana, Inc Internal Medicine 2326 Hobson Rd, Fort Wayne, IN 46805-2916 2011-03-17
1609019900 Srisai P C Internal Medicine 7972 West Jefferson Blvd, Suite A, Fort Wayne, IN 46804-4140 2009-04-16
1508001157 Mario Augusto Gomez Internal Medicine 2040 S Calhoun St, Fort Wayne, IN 46802-6412 2008-12-11
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46804

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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