Individual
DR. SUNITA YEDAVALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2000 N HURON RIVER DR, 100, YPSILANTI, MI 48197-1699
(734) 572-1200
(734) 572-9760
Mailing address
39650 ORCHARD HILL PL, 200, NOVI, MI 48375-5331
(248) 319-0161
(248) 319-0170
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
5101009249
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
5101009249
MI
Other
Enumeration date
07/02/2006
Last updated
01/26/2022
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