Individual
DIVYA YADLAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 SECATOGUE LN E, WEST ISLIP, NY 11795-4720
(516) 426-6641
Mailing address
1000 W. CARSON ST. BOX 461, HARBOR-UCLA MEDICAL CENTER, TORRANCE, CA 90509
(310) 222-2700
(310) 533-1841
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30133701
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2015
Last updated
02/27/2025
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