Individual
JAGADEESH YELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 N RITTER AVE STE 375, INDIANAPOLIS, IN 46219-3049
(317) 355-9370
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01083022A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
26406
WV
Other
Enumeration date
08/11/2013
Last updated
10/17/2019
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