Individual
BHASKAR R YETURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8712 58TH AVE, ELMHURST, NY 11373-4821
(718) 426-4800
(718) 651-9284
Mailing address
8712 58TH AVE, ELMHURST, NY 11373-4821
(718) 426-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225633
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02587584
—
NY
Enumeration date
07/31/2006
Last updated
09/07/2012
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