Individual
MRS. PATRICE R YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3834 S EMERSON AVE, BUILDING C, SUITE 100, INDIANAPOLIS, IN 46237
(317) 782-1577
(317) 780-5539
Mailing address
3834 S EMERSON AVE, BUILDING C STE 100, INDIANAPOLIS, IN 46203-5902
(317) 782-1577
(317) 780-5539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01050757A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110185492
RR MEDICARE
IN
05
—
200225030A
—
IN
Enumeration date
10/20/2005
Last updated
08/02/2018
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