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NPI Code Detail

MEDICARE: MS. TEJASWINI YEGATEELA M.D.

MEDICARE: MS. TEJASWINI YEGATEELA 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
1390200000XStudent in an Organized Health Care Education/Training Program818429TX

General Provider Information

NPI Number : 1821830936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TEJASWINI YEGATEELA M.D.
Provider Business Mailing Address
First Line : 11937 US HIGHWAY 271
Second Line : BLOCK B , ROOM 621
City : TYLER
State : TX
Zip : 75708-3154
Country : US
Telephone Number : 903-877-7253
Fax Number : 903-877-8111
Provider Business Practice Location Address
First Line : 11937 US HIGHWAY 271
Second Line : BLOCK B , ROOM 621
City : TYLER
State : TX
Zip : 75708-3154
Country : US
Telephone Number : 903-877-7253
Fax Number : 903-877-8111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2024
Last Update Date : 02/03/2026

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