Provider Demographics
NPI:1073496758
Name:VED REHAB LLC
Entity type:Organization
Organization Name:VED REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KISHORE
Authorized Official - Middle Name:
Authorized Official - Last Name:RASAMALLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-379-8553
Mailing Address - Street 1:2300 LAKEVIEW PKWY STE 700
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-9066
Mailing Address - Country:US
Mailing Address - Phone:802-735-0001
Mailing Address - Fax:
Practice Address - Street 1:1165 SANDERS RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-5965
Practice Address - Country:US
Practice Address - Phone:802-735-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty