Sourabh Srivatsa Vellala
Sourabh Srivatsa Vellala is a Student in an Organized Health Care Education/Training Program in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2026.
- Licensed in
- MD
- In the registry since
- 2026
Practice location Address checks out
655 W Baltimore StBaltimore, MD 21201-1509
Phone: (410) 706-3100
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (MD) |
|---|
Record details
| NPI number | 1770416240 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2026 |
| Last updated in NPPES | June 6, 2026 |
| Certification date | June 6, 2026 |
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