Individual
SUJANI YADLAPATI
Active
Individual
SUJANI YADLAPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01089520A
IN
207RG0100X
Gastroenterology Physician
Primary
01089520A
IN
390200000X
Student in an Organized Health Care Education/Training Program
MT211892
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264910410
MEDICARE PTAN
IN
05
—
300075003
—
IN
Enumeration date
06/09/2016
Last updated
03/16/2025
Update your record
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