Individual
DR. VIVEK SRIKAR YEDAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE STREET, PHIPPS B100, BALTIMORE, MD 21287
(410) 502-0012
(410) 955-0962
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125063614
IL
2085R0202X
Diagnostic Radiology Physician
A155349
CA
2085R0202X
Diagnostic Radiology Physician
Primary
D90046
MD
Other
Enumeration date
06/12/2013
Last updated
08/13/2021
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