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NPI Code Detail

MEDICARE: BHAVYA RAJA GOPAL YARLAGADDA M.D.

MEDICARE: BHAVYA RAJA GOPAL YARLAGADDA M.D.
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 Physician88132SC

General Provider Information

NPI Number : 1750945002
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHAVYA RAJA GOPAL YARLAGADDA M.D.
Provider Business Mailing Address
First Line : 800 W MEETING ST
Second Line :
City : LANCASTER
State : SC
Zip : 29720-2202
Country : US
Telephone Number : 803-286-1214
Fax Number :
Provider Business Practice Location Address
First Line : 800 W MEETING ST
Second Line :
City : LANCASTER
State : SC
Zip : 29720-2202
Country : US
Telephone Number : 180-328-6121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2019
Last Update Date : 05/18/2026

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