Healthcare Provider Details

I. General information

NPI: 1699086827
Provider Name (Legal Business Name): SANTI YARLAGADDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 GARDEN CT STE B
MONTEREY CA
93940-5302
US

IV. Provider business mailing address

100 WILSON RD STE 100
MONTEREY CA
93940-7885
US

V. Phone/Fax

Practice location:
  • Phone: 831-647-1123
  • Fax: 831-886-3647
Mailing address:
  • Phone: 831-242-8394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA148602
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: