Individual
YASHWANTH YERRAMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 MERCY LN STE 220, SPRINGDALE, AR 72762-3070
(479) 347-3810
(479) 338-3089
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 543-6979
(314) 364-6321
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2016039972
MO
207RP1001X
Pulmonary Disease Physician
2016039972
MO
207RP1001X
Pulmonary Disease Physician
Primary
E-18477
AR
Other
Enumeration date
04/17/2013
Last updated
01/14/2025
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