MEDICARE: CARMELA RAMOS YARLAGADDA 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
1	208000000X	Pediatrics Physician	217426	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1336134279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMELA RAMOS YARLAGADDA MD

Provider Business Mailing Address
First Line	:	620 WOODSIDE WAY
Second Line	:
City	:	WOODSIDE
State	:	CA
Zip	:	94062-4136
Country	:	US
Telephone Number	:	650-530-2779
Fax Number	:

Provider Business Practice Location Address
First Line	:	751 S BASCOM AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2604
Country	:	US
Telephone Number	:	408-885-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	08/06/2015

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