Individual
PRAMOD K YADHATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4512 KIRKWOOD HWY, SUITE 200, WILMINGTON, DE 19808-5123
(302) 998-2585
(302) 998-3394
Mailing address
PO BOX 3012, WILMINGTON, DE 19804-0012
(302) 224-5678
(302) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
C10005008
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000807501
—
DE
01
—
050086513
RAIL ROAD MEDICARE
—
01
—
0503833000
AMERIHEALTH
—
Enumeration date
01/04/2007
Last updated
04/06/2015
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