Individual
PRABHAT REDDY YETURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 987-3100
(212) 876-3906
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
(412) 937-5710
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
3013528
MA
207L00000X
Anesthesiology Physician
Primary
3013528
NY
Other
Enumeration date
04/08/2019
Last updated
08/21/2025
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