Provider Demographics
NPI:1871540757
Name:MERLA, VEERANNA CHOUDARY (MD)
Entity type:Individual
Prefix:
First Name:VEERANNA
Middle Name:CHOUDARY
Last Name:MERLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12 LIBERTY SQUARE MALL
Mailing Address - Street 2:CARDIOLOGY CONSULTANTS OF ROCKLAND
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-2400
Mailing Address - Country:US
Mailing Address - Phone:845-942-1001
Mailing Address - Fax:845-942-1431
Practice Address - Street 1:12 LIBERTY SQUARE MALL
Practice Address - Street 2:CARDIOLOGY CONSULTANTS OF ROCKLAND
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-2400
Practice Address - Country:US
Practice Address - Phone:845-942-1001
Practice Address - Fax:845-942-1431
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2024-11-01
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA73016207RC0000X
NY222194207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02883856Medicaid
NYP00410687OtherRAILROAD MEDICARE
NY230276OtherUS FAMILY HEALTH PLAN
NY13-3693126OtherTAX ID #
NYP3804668OtherOXFORD
NY3010085OtherMVP/TACONIC IPA
NYP00410687OtherRAILROAD MEDICARE
NY02883856Medicaid