DR. PRAVEEN KUMAR VODALA MD
NPI 1720716590
Student in an Organized Health Care Education/Training Program in Cleveland, OH
About Dr. Praveen Kumar Vodala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRAVEEN KUMAR VODALA MD (NPI 1720716590) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Praveen Kumar Vodala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Praveen Vodala's NPI number?
The NPI number for Praveen Vodala is 1720716590. It was assigned to this individual provider in the NPPES registry on August 10, 2022.
Where is Praveen Vodala located?
Praveen Vodala practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (888) 927-9872.
What is Praveen Vodala's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Praveen Vodala enrolled in Medicare?
Yes. Praveen Vodala is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Praveen Vodala was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Praveen Kumar Vodala, MD · NPI 1720716590
Student in an Organized Health Care Education/Training Program provider in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since August 10, 2022.
## Identity
- **NPI:** 1720716590 (Entity type: Individual)
- **Enumerated:** August 10, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 11100 EUCLID AVE, Cleveland, OH 44106-1716
- **Phone:** (888) 927-9872
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 10, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1720716590) · Data from the CMS NPPES public registry.