MEDICARE: ROY N/A YAARI 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	2084N0400X	Neurology Physician	01073859A	IN

General Provider Information

NPI Number	:	1609832773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROY N/A YAARI MD

Provider Business Mailing Address
First Line	:	355 W 16TH ST
Second Line	:	3RD FLOOR
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-2207
Country	:	US
Telephone Number	:	317-963-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	ELI LILLY AND COMPANY
Second Line	:	LILLY CORPORATE CENTER
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46285-0001
Country	:	US
Telephone Number	:	317-276-5972
Fax Number	:

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	10/28/2014

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