MEDICARE: DR. YALLAPPA NADIMINTI 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	207RH0003X	Hematology & Oncology Physician	ME36292	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00387327	OTHER	FL	RR MEDICARE

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	:	1609879022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YALLAPPA NADIMINTI MD

Provider Business Mailing Address
First Line	:	4371 VERONICA S SHOEMAKER BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33916-2216
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:	239-278-3350

Provider Business Practice Location Address
First Line	:	401 MANATEE AVE E
Second Line	:	SUITE B
City	:	BRADENTON
State	:	FL
Zip	:	34208-1143
Country	:	US
Telephone Number	:	941-748-2217
Fax Number	:	941-748-5300

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	04/15/2010

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Directions to “ DR. YALLAPPA NADIMINTI MD” Practice Location

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