# NANDALAL YEPURI SCOTTSBURG LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346448354
- **Authorized official:** DR. NANDALAL YEPURI M.D. (OWNER)
- **Authorized official phone:** (812) 284-4437

## Contact information

- **Practice address:** 1185 N GARDNER ST, SCOTTSBURG, IN 47170-1417
- **Practice address phone:** (812) 284-4437
- **Practice address fax:** (812) 285-0256
- **Mailing address:** 1185 N GARDNER ST, SCOTTSBURG, IN 47170-1417
- **Mailing address phone:** (812) 284-4437
- **Mailing address fax:** (812) 285-0256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01027999 | IN | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 07/12/2007