Individual
DR. RAMANA VENKATA YEDAVALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
1200 MAPLE RD, SUITE 3309, JOLIET, IL 60432-1439
(815) 723-9351
Mailing address
1200 MAPLE RD, SUITE 3309, JOLIET, IL 60432-1439
(815) 723-9351
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036124148
IL
Other
Enumeration date
01/24/2009
Last updated
10/20/2009
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