Individual
PRIYA M YENEBERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-8507
(317) 968-1395
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02006900A
IN
207RN0300X
Nephrology Physician
Primary
02006900A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264910391
MEDICARE
IN
05
—
300066800
—
IN
Enumeration date
04/19/2015
Last updated
03/16/2025
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