Provider Demographics
NPI:1871633941
Name:VELYAN, INARA
Entity type:Individual
Prefix:
First Name:INARA
Middle Name:
Last Name:VELYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 113
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95611-0113
Mailing Address - Country:US
Mailing Address - Phone:916-303-7506
Mailing Address - Fax:916-880-5479
Practice Address - Street 1:7425 THALIA CT
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621-5589
Practice Address - Country:US
Practice Address - Phone:916-303-7506
Practice Address - Fax:916-880-5479
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)