Individual
SANJAY KUMAR YADAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 IRVING AVE STE 311, SYRACUSE, NY 13210-1685
(315) 464-5815
(315) 464-9150
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-7287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
95407
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
95407
GA
Other
Enumeration date
09/15/2017
Last updated
03/23/2026
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