Healthcare Provider Details

I. General information

NPI: 1467831552
Provider Name (Legal Business Name): SUDHA R YARLAGADDA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2015
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 N MEACHAM RD
SCHAUMBURG IL
60173-4824
US

IV. Provider business mailing address

POB 7132960
CHICAGO IL
60677-0001
US

V. Phone/Fax

Practice location:
  • Phone: 630-364-7850
  • Fax: 630-432-6604
Mailing address:
  • Phone: 630-469-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number036164301
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: