Individual
TANUJA YALAMARTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-6200
(505) 609-2259
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT213786
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD2024-0294
NM
Other
Enumeration date
06/28/2017
Last updated
10/09/2024
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