PRAVEEN KUMAR VEMURI (NPI# 1598104234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598104234 |
| Entity Type | Individual |
| Full Name | PRAVEEN KUMAR VEMURI |
| Credential | MD |
| Practice Address |
8024 Myrtle Trace Dr Conway SC 29526-8945 |
| Mailing Address |
300 Singleton Ridge Rd Attention Patient Accounting Conway SC 29526-9142 |
| Practice Telephone | 8432348950 |
| Practice Fax Number | 8432348951 |
| Mailing Telephone | 8432346827 |
| Mailing Fax Number | 8432346990 |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
51295 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
8024 MYRTLE TRACE DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447229141 | Mario S Bangco | Psychiatry & Neurology | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-03-15 |
| 1104223908 | Conway Hospital Inc | Psychiatry & Neurology | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2014-11-24 |
| 1356531271 | Center of Obstetrics and Gynecology L.L.C. | Specialist | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2007-07-26 |
| 1083625321 | Camille G. Gagne-sabbagh | Obstetrics & Gynecology | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-08-11 |
| 1518917962 | Inez Mcquage Huggins | Nurse Practitioner | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-05-10 |
| 1013975010 | George M. Sandoz | Ophthalmology | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346769767 | Arkansas Health Group | Psychiatry & Neurology | 625 United Dr Ste 370b, Conway, AR 72032-7826 | 2017-09-18 |
| 1093876435 | Mario S. Bangco, Md, Pa | Psychiatry & Neurology | 170 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2006-12-12 |
| 1447229141 | Mario S Bangco | Psychiatry & Neurology | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-03-15 |
| 1255879656 | Conway Regional Medical Center, Inc. | Psychiatry & Neurology | 2200 Ada Ave, Suite 305, Conway, AR 72034-4985 | 2017-02-06 |
| 1104223908 | Conway Hospital Inc | Psychiatry & Neurology | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2014-11-24 |
| 1790860716 | David Allen Oberlander | Psychiatry & Neurology | 400 Salem Rd, Bldg 3 Suite 1, Conway, AR 72034-6162 | 2006-10-26 |
| 1811072838 | Conway Neurology Pa | Psychiatry & Neurology | 400 Salem Rd, Bldg 3 Suite 1, Conway, AR 72034-6162 | 2006-10-26 |
| 1174520258 | Timothy E Freyaldenhoven | Psychiatry & Neurology | 2200 Ada Ave, Ste 305, Conway, AR 72034-4986 | 2005-07-05 |
| 1053318147 | Keith O Schluterman | Psychiatry & Neurology | 2200 Ada Ave, Ste 305, Conway, AR 72034-4985 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693039 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 5500 Front St Ste 230, Summerville, SC 29486-7735 | 2020-09-14 |
| 1093323875 | Carolina Neurology & Neuroimaging LLC | Psychiatry & Neurology | 111 Shire Dr, Anderson, SC 29621-3675 | 2020-07-17 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| 1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
| 1427608819 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9221 University Blvd Ste 2d, North Charleston, SC 29406-9148 | 2019-09-17 |
| 1801454830 | Mark Joshua Rosenberg | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 | 2019-06-04 |
| 1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
| 1164995700 | Amy Elizabeth Gallozzi | Psychiatry & Neurology | 531 Tributary Dr, Fort Lawn, SC 29714-8625 | 2019-01-07 |
| 1952896789 | Lauren Crawford | Psychiatry & Neurology | 96 Jonathan Street Suite 301, Charleston, SC 29425-0001 | 2018-06-25 |
| 1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
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| 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.