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1659510337

NPI Code Detail

MEDICARE: MAHENDER REDDY YELLU MD

MEDICARE: MAHENDER REDDY YELLU 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	53779-20	WI
2	207R00000X	Internal Medicine Physician	35-121453	OH
3	207RH0000X	Hematology (Internal Medicine) Physician	ME137058	FL
4	207RX0202X	Medical Oncology Physician	ME137058	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659510337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHENDER REDDY YELLU MD

Provider Business Mailing Address
First Line	:	2890 CENTER POINTE DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33916-9521
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1396 WHISPER CIR
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-1204
Country	:	US
Telephone Number	:	863-385-1244
Fax Number	:	863-385-6086

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

Provider Enumeration Date	:	02/19/2009
Last Update Date	:	05/27/2025

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Directions to “ MAHENDER REDDY YELLU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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