Healthcare Provider Details

I. General information

NPI: 1962341958
Provider Name (Legal Business Name): SRUTHI YARLAGADDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 FAIRWOOD AVE
SUNNYVALE CA
94089-2311
US

IV. Provider business mailing address

166 LA CANADA WAY
SANTA CRUZ CA
95060-1031
US

V. Phone/Fax

Practice location:
  • Phone: 408-523-4870
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: