Organization
YUMA OUTPATIENT MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLAPPA NEELAPPA MD (OWNER)
(928) 344-0810
Entity
Organization
Contact information
Practice address
2281 W 24TH ST STE 14, YUMA, AZ 85364-6197
(928) 446-9401
Mailing address
PO BOX 6229, YUMA, AZ 85366-2510
(928) 344-0810
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521845
—
AZ
01
—
F89598
UPIN
AZ
01
—
Z222015
PTAN
AZ
Enumeration date
10/24/2018
Last updated
09/10/2025
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