Individual
DR. GAUTAM YADLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 N 20TH ST STE 20A, OPELIKA, AL 36801-5456
(334) 749-6423
Mailing address
121 N 20TH ST STE 20A, OPELIKA, AL 36801-5456
(334) 749-6423
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD.48142
AL
Other
Enumeration date
06/26/2019
Last updated
06/11/2025
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