Individual
SITA L YANAMADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3625 MARTIN LUTHER KING JR BLVD, SUITE #2, LYNWOOD, CA 90262-3509
(310) 638-0533
(310) 638-9171
Mailing address
3625 MARTIN LUTHER KING JR BLVD, SUITE #2, LYNWOOD, CA 90262-3509
(310) 638-0533
(310) 638-9171
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A49746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067120
—
CA
Enumeration date
05/12/2006
Last updated
11/04/2009
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