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Individual

SANCHITA YADALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, FACOG

Contact information

Practice address
375 N SAM HOUSTON AVE, ODESSA, TX 79761-5051
(432) 640-2491
(432) 640-2493
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2491
(432) 640-2493

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2349431
NY
207V00000X
Obstetrics & Gynecology Physician
MD436010
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
Q5304
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027018301
UNIVERA
NY
01
000528049001
BC/BS WNY
NY
05
02634797
NY
01
050228000057
FIDELIS
NY
01
0791301
INDEPENDENT HEALTH
NY
05
1023261680001
PA
01
159062CK
PREFERRED CARE
NY
01
7698616
AETNA
NY
01
P010234943
MUNROE PLAN
NY
01
P020234943
BC/BS ROCHESTER
NY
Enumeration date
08/01/2006
Last updated
03/07/2023
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