Organization Active NPI

R.Vedala and Associates, LLC

  • Diagnostic Radiology Physician
  • Terre Haute, IN
National Provider Identifier
1083651590
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01027928 Issued in IN
Legal business name
R.VEDALA AND ASSOCIATES, LLC
Practice address
3102 Wabash Ave
Terre Haute, IN 47803-1518
Phone
(812) 234-8261
Fax
(812) 234-8262
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ranganath Vedala, M.D.NPI 1023055639
Title
Owner
Phone
(812) 234-8261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 01027928 IN Primary

Addresses

Primary practice location

3102 Wabash Ave
Terre Haute, IN 47803-1518

Mailing address

2901 Ohio Blvd
Suite 127
Terre Haute, IN 47803-2239
Phone (812) 234-8261

National Provider Directory

National Provider Directory
Tax ID family
R Vedala and Associates LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2901 Ohio Blvd
Ste 127
Terre Haute, IN 47803
Phone (812) 232-5180

3102 Wabash Ave
Terre Haute, IN 47803

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083651590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 OHIO BLVD",
            "address_2": "SUITE 127",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032239",
            "telephone_number": "812-234-8261",
            "fax_number": "812-234-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 WABASH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031518",
            "telephone_number": "812-234-8261",
            "fax_number": "812-234-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.VEDALA AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VEDALA",
        "authorized_official_first_name": "RANGANATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-234-8261",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01027928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.