Individual
PRASAD V YALAVARTHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7001 UTICA AVE, APT # 1014, LUBBOCK, TX 79424-1600
(806) 368-0338
Mailing address
7001 UTICA AVE, APT # 1014, LUBBOCK, TX 79424-1600
(806) 368-0338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9801
ND
207RH0003X
Hematology & Oncology Physician
Primary
9801
ND
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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