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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOURABH SRIVATSA VELLALA
NPI 1770416240
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since June 04, 2026
655 W BALTIMORE ST, BALTIMORE, MD 21201(410) 706-3100 Get Directions Write a Review

NPPES record added: June 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sourabh Srivatsa Vellala NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOURABH SRIVATSA VELLALA (NPI 1770416240) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1770416240
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSOURABH SRIVATSA VELLALA
Location Address655 W BALTIMORE STBaltimore, MD 21201-1509
Mailing Address655 W Baltimore StBaltimore, MD 21201-1509
Phone(410) 706-3100
Sole ProprietorNo
Enumeration DateJune 4, 2026
Last NPPES UpdateJune 6, 2026
NPPES CertifiedJune 6, 2026
✔ NPI 1770416240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
655 W BALTIMORE ST, Baltimore, MD 21201
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Other Identifiers 1

Medicaid11402230560MD

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.

JEISON DE GUZMAN
Student in an Organized Health Care Education/Training Program
655 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-3100
CHARLYN GOMEZ
Student in an Organized Health Care Education/Training Program
655 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-3100
AMIL SAHAI
Student in an Organized Health Care Education/Training Program
655 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-7476
MICHAEL MCCURDY
Student in an Organized Health Care Education/Training Program
655 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (301) 704-9843
MIRANDA RENEE ZAHN
Student in an Organized Health Care Education/Training Program
655 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-3100
DR. ROBERT ALAN BARISH M.D.
Personal Emergency Response Attendant
655 W BALTIMORE ST, ROOM 14-011
BALTIMORE, MD 21201
Baltimore City (410) 706-1413
ERIN STROVEL PHD
Specialist/Technologist, Other (Geneticist, Medical (PhD))
655 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-5181
SERBAN NEGOITA
Student in an Organized Health Care Education/Training Program
655 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-6613

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 Sourabh Vellala's NPI number?

The NPI number for Sourabh Vellala is 1770416240. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Sourabh Vellala located?

Sourabh Vellala practices at 655 W Baltimore St, Baltimore, MD 21201. The listed phone number is (410) 706-3100.

What is Sourabh Vellala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sourabh Vellala was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.