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Individual

MAMATA YANAMADALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0002
(804) 675-5000
Mailing address
8536 VIRGILS FARM RD, APEX, NC 27523-7141
(919) 656-2380

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301082261
NC

Other

Enumeration date
05/23/2007
Last updated
12/31/2025
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