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NPI Code Detail

MEDICARE: DR. SHYAM YALLAPRAGADA MD

MEDICARE:  DR. SHYAM  YALLAPRAGADA  MD
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician036162728IL
2207RP1001XPulmonary Disease Physician9767SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184620783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHYAM YALLAPRAGADA MD
Provider Business Mailing Address
First Line : 2811 TRICOM ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9172
Country : US
Telephone Number : 843-572-4774
Fax Number : 843-572-2508
Provider Business Practice Location Address
First Line : 2811 TRICOM ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9172
Country : US
Telephone Number : 843-572-4774
Fax Number : 843-572-2508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 01/05/2023

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Directions to “ DR. SHYAM YALLAPRAGADA MD” Practice Location

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