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NPI Code Detail

MEDICARE: DR. YAMUNA KASARANENI M.D.

MEDICARE: DR. YAMUNA KASARANENI M.D.
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
1207Q00000XFamily Medicine PhysicianMD26061OR
2207Q00000XFamily Medicine Physician42867KY
3207Q00000XFamily Medicine Physician01065616AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1614355OTHERNICC/ANTHEM
2104699OTHERSIHO
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528097607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YAMUNA KASARANENI M.D.
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1076
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 1001 N MADISON AVE
Second Line :
City : GREENWOOD
State : IN
Zip : 46142-4135
Country : US
Telephone Number : 317-528-7500
Fax Number : 317-528-7515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 05/01/2023

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