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NPI Code Detail

MEDICARE: UMESH CHOWDARY YALAVARTHY

MEDICARE: UMESH CHOWDARY YALAVARTHY
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
1207RN0300XNephrology Physician094588OH

General Provider Information

NPI Number : 1568584878
Entity Type Code : Individual
Provider Name (Legal Business Name) : UMESH CHOWDARY YALAVARTHY
Provider Business Mailing Address
First Line : 25301 EUCLID AVE
Second Line :
City : EUCLID
State : OH
Zip : 44117-2609
Country : US
Telephone Number : 901-846-9557
Fax Number : 216-261-4964
Provider Business Practice Location Address
First Line : 25301 EUCLID AVE
Second Line :
City : EUCLID
State : OH
Zip : 44117-2609
Country : US
Telephone Number : 901-846-9557
Fax Number : 216-261-4964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 06/01/2010

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Directions to “ UMESH CHOWDARY YALAVARTHY ” Practice Location

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