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NPI Code Detail

MEDICARE: DR. SUJATHA YELLINEDI M.D.

MEDICARE: DR. SUJATHA YELLINEDI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician0101237658VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1541989200OTHERVATRICARE
2541989200OTHERVAMAILHANDLERS
3541989200OTHERVAUNITED HEALTH CARE
4541989200OTHERVACIGNA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6177532OTHERVABCBS
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265406607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUJATHA YELLINEDI M.D.
Provider Business Mailing Address
First Line : 7202 GLEN FOREST DR
Second Line : SUITE 200
City : RICHMOND
State : VA
Zip : 23226-3781
Country : US
Telephone Number : 804-673-2024
Fax Number : 804-673-1796
Provider Business Practice Location Address
First Line : 200 MEDICAL PARK BLVD
Second Line : SUITE 200
City : PETERSBURG
State : VA
Zip : 23805-9274
Country : US
Telephone Number : 804-431-1100
Fax Number : 804-862-1094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 02/21/2024

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