Individual
MR. AJAY NEILCHAND YEDDU I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1410 W GUADALUPE RD, BUILDING 4 SUITE 125, GILBERT, AZ 85233-3003
(480) 838-1914
(480) 838-9434
Mailing address
PO BOX 97, HIGLEY, AZ 85236-0097
(480) 838-1914
(480) 838-9434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34866
AZ
207L00000X
Anesthesiology Physician
MD-15499R
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
34866
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081425
—
AZ
05
—
1423360
—
LA
01
—
34866
AZ STATE LICENSE
AZ
Enumeration date
03/26/2006
Last updated
10/26/2021
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