Individual
DR. ANIL VENKATA SESHU YALLAPRAGADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(438) 474-4372
(843) 847-5187
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
(304) 388-1724
(304) 388-1721
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101269619
VA
2084N0400X
Neurology Physician
307357
NY
2084N0400X
Neurology Physician
32550
WV
2084N0400X
Neurology Physician
36437
SC
2084N0400X
Neurology Physician
A117333
CA
2084V0102X
Vascular Neurology Physician
0101269619
VA
2084V0102X
Vascular Neurology Physician
32550
WV
2084V0102X
Vascular Neurology Physician
Primary
36437
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639338585
—
CA
05
—
364377
—
SC
Enumeration date
06/05/2008
Last updated
12/21/2023
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