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General NPI Number Information
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NPI Number | 1336358233
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Entity Type | Individual
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Provider Name | RAJKUMAR YARLAGADDA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 16929 FRANCES ST STE 204
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City | OMAHA
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State | NE
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Zip | 68130-4683
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Country | US
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Telephone | 402-758-5233
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Fax | 402-758-5270
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Provider Business Mailing Address
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Address Line | 16929 FRANCES ST STE 204
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City | OMAHA
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State | NE
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Zip | 68130-4683
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Country | US
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Telephone | 402-758-5233
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Fax | 402-758-5270
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 55758
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 40272
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 8376
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License Number State | SD
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 26769
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License Number State | NE
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