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Individual

SUJANI YADLAPATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-0980
(317) 968-1221
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

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
390200000X
Student in an Organized Health Care Education/Training Program

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
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