Individual
THARAKANATHA REDDY YARRABOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3533 S ALAMEDA ST, 202, CORPUS CHRISTI, TX 78411-1721
(361) 694-5082
(361) 694-4641
Mailing address
3533 S ALAMEDA ST, 202, CORPUS CHRISTI, TX 78411-1721
(361) 694-5082
(361) 694-4641
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P7372
TX
2080P0202X
Pediatric Cardiology Physician
Primary
P7372
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200546340 A
—
OK
05
—
332738901
—
TX
05
—
332738902
—
TX
05
—
90882865
—
NM
Enumeration date
08/12/2012
Last updated
10/10/2016
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