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Individual

DR. PADMAJA YATHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7000 SW 97TH AVE STE 214, MIAMI, FL 33173-1492
(786) 780-1800
(786) 780-2500
Mailing address
7000 SW 97TH AVE STE 214, MIAMI, FL 33173-1492
(786) 780-1800
(786) 780-2500

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME98251
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME98251
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1070341
CARE PLUS
FL
01
409417
WELLCARE
FL
01
6287092
CIGNA
FL
01
95717
BCBS
FL
01
9788253
AETNA
FL
Enumeration date
07/12/2006
Last updated
04/19/2018
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