Individual
SUBRAHMANYA SARMA YELLAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6742 PARK AVE, ALLEN PARK, MI 48101-2034
(313) 928-2333
Mailing address
6742 PARK AVE, ALLEN PARK, MI 48101-2034
(313) 928-2333
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301053980
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3310722
—
MI
01
—
700H217060
BCBSMI
MI
01
—
P00447222
RAILROAD MEDICARE
MI
Enumeration date
11/30/2005
Last updated
07/22/2008
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