Individual
DR. JYOTHSNA YALAVARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(734) 464-0887
(734) 402-0254
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35079536
OH
207R00000X
Internal Medicine Physician
Primary
4301097794
MI
208M00000X
Hospitalist Physician
4301097794
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003811662
—
MI
Enumeration date
06/20/2005
Last updated
07/29/2015
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