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Individual

RAO V YELAMANCHILI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-8837
(315) 470-2961
Mailing address
PO BOX 2004, EAST SYRACUSE, NY 13057-4504
(315) 632-5285
(315) 445-2936

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
112630
NY
208M00000X
Hospitalist Physician
Primary
112630
NY

Other

Enumeration date
05/31/2005
Last updated
01/19/2010
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