Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH VERESCHAGIN, MD
ActiveKENNETH VERESCHAGIN, MD is a Sports Medicine (Pediatrics) healthcare provider located in SANTA CLARA, California. NPI 1497837785 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · SANTA CLARA, CA
Registration Details
- NPI Number
- 1497837785
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2006 (19.857855818457 yrs)
- Last Updated
- Dec 2, 2011
- License
-
G61515 (CA)
Practice Information
- Address
-
2652 EL CAMINO REALSANTA CLARA, CA, 950513041Browse CA providers · Browse ZIP 95051
- Phone
- 4085245952
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.