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Individual

ANUSHA YANAMADALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(708) 783-6566
(708) 783-6567
Mailing address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(201) 626-0897

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036148992
IL

Other

Enumeration date
04/28/2016
Last updated
06/18/2019
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