Organization
VINAYA K YADLA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VINAYA K YADLA MD (OWNER)
(256) 766-0060
Entity
Organization
Contact information
Practice address
2115 CLOYD BLVD, SUITE 5, FLORENCE, AL 35630-7512
(256) 766-0060
(256) 766-2111
Mailing address
2115 CLOYD BLVD, SUITE 5, FLORENCE, AL 35630-7512
(256) 766-0060
(256) 766-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4163
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000047136
—
AL
01
—
110090645
MEDICARE RAILROAD
—
01
—
51047136
BCBS
—
Enumeration date
08/22/2006
Last updated
05/06/2008
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