MEDICARE: DR. MURALIDHAR REDDY YERRAMADHA 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	207R00000X	Internal Medicine Physician	P5912	TX

General Provider Information

NPI Number	:	1609184027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MURALIDHAR REDDY YERRAMADHA MD

Provider Business Mailing Address
First Line	:	1514 FROST CREEK LN
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-4682
Country	:	US
Telephone Number	:	832-221-2321
Fax Number	:	832-201-0411

Provider Business Practice Location Address
First Line	:	560 BLOSSOM ST STE C
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-4237
Country	:	US
Telephone Number	:	832-221-2321
Fax Number	:	832-201-0411

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

Provider Enumeration Date	:	09/20/2010
Last Update Date	:	03/20/2019

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