Individual
DR. VANAMA YERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 W DANFORTH RD, B-30, EDMOND, OK 73003-5006
(405) 602-3553
(405) 602-3556
Mailing address
820 W DANFORTH RD, B-30, EDMOND, OK 73003-5006
(405) 602-3553
(405) 602-3556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22719
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200219490A
—
OK
Enumeration date
10/06/2006
Last updated
03/12/2009
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