Individual
VENKATA NIHARIKA YADAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548
(608) 756-6261
(608) 743-3214
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6261
(608) 743-3214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68446-20
WI
208M00000X
Hospitalist Physician
Primary
68446-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2015
Last updated
07/11/2018
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