Individual
ANJALI YEOLEKAR-DASARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 CONSTITUTION AVE NE, ALBEQUERQUE, NM 87110-7624
(505) 291-2500
(505) 291-2552
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBEQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
97-168
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B5134
—
NM
Enumeration date
03/23/2007
Last updated
08/03/2021
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