Suryamohanrao Yalla M.D.,

NPI 1053514232 - Internal Medicine - 207R00000X

NPI Details
NPI 1053514232
Gender Male
Enumeration Date 06/06/2007
Last Updated 06/26/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
3424 KOSSUTH AVE
EMERGENCY MEDICINE DEPARTMENT,NORTHCENTRAL BRONX HOSPIT
BRONX NY, 10467, US
Phone (718) 519-3013
Fax (718) 511-9500
Business Location
62 LAKEVIEW ST
RIVER EDGE NJ, 07661-1722, US
Phone (201) 880-6537
Fax (718) 519-3013
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 209937
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According to our database, Dr. Suryamohanrao Yalla M.D., NPI is 1053514232, taxonomy code is 207R00000X and license number is 209937, license state is located at New York. Suryamohanrao Yalla M.D., physically located at 3424 Kossuth Ave, Bronx NY, 10467. NPI Number Suryamohanrao Yalla M.D., has the Individual type.

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1053514232 NPI number is provided on an as is basis without warranty of any kind. 1053514232 is maintained by the National Plan & Provider Enumeration System. The contents of Suryamohanrao Yalla M.D., are for informational purposes only.