Most Relevant Information
Provider Data
| NPI Number: | 1003553165 |
| Provider Name: | VINEETA DAMINENI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2022 |
| Last Updated: | 05/18/2022 |
Provider Practice Location
327 BEACH 19TH ST
FAR ROCKAWAY
NY
116914423
Practice Location Phone/Fax
| Phone: | 7188697248 |
| Fax: |
Provider Mailing Location
2808 GREY MOSS PASS
DULUTH
GA
300975226
Provider Mailing Phone/Fax
| Phone: | 4789988244 |
| Fax: |