Individual
DR. DEEPTHI YELAVARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215-3677
(414) 325-7246
Mailing address
141 N JEFFERSON ST, APT 209, MILWAUKEE, WI 53202-6142
(219) 309-4467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62421
WI
207R00000X
Internal Medicine Physician
OS016243
PA
208M00000X
Hospitalist Physician
62421
WI
208M00000X
Hospitalist Physician
Primary
H79477
MD
Other
Enumeration date
04/21/2011
Last updated
07/31/2017
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