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NPI Code Detail

MEDICARE: RENU YADAV MD

MEDICARE: RENU YADAV 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
1207R00000XInternal Medicine Physician302400NY

General Provider Information

NPI Number : 1669620985
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENU YADAV MD
Provider Business Mailing Address
First Line : 133 PARK ST
Second Line :
City : MALONE
State : NY
Zip : 12953-1244
Country : US
Telephone Number : 518-353-1584
Fax Number :
Provider Business Practice Location Address
First Line : 133 PARK ST
Second Line :
City : MALONE
State : NY
Zip : 12953-1244
Country : US
Telephone Number : 518-353-1584
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2008
Last Update Date : 12/17/2020

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Directions to “ RENU YADAV MD” Practice Location

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