Individual
PANDURANGA REDDY YENUMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEDICAL CENTER DR, SUITE 406, SPRINGFIELD, MA 01107-1270
(413) 732-4269
(413) 788-0944
Mailing address
PO BOX 1066, WILBRAHAM, MA 01095-7066
(508) 595-0531
(508) 829-4951
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
224458
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105951
—
MA
Enumeration date
02/21/2006
Last updated
12/14/2021
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