Individual
SIDDHARTHA YEDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HOSPITAL RD FL 2, PATCHOGUE, NY 11772-4870
(631) 687-4131
Mailing address
101 HOSPITAL RD FL 2, PATCHOGUE, NY 11772-4870
(631) 687-4131
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
25MA11248000
NJ
208M00000X
Hospitalist Physician
Primary
311727
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2015
Last updated
02/25/2024
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