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Individual
DR. SUDHA RANI YENUMULA
Active
Individual
DR. SUDHA RANI YENUMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C54890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803313282
BCBS INDIVIDUAL PIN #
MI
01
—
200000002868
PHP PIN #
MI
01
—
200000002869
PHP PIN #
MI
01
—
200000002870
PHP PIN #
MI
05
—
4922720
—
MI
05
—
4922758
—
MI
05
—
4922776
—
MI
Enumeration date
10/03/2006
Last updated
12/20/2021
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