Individual
NAGA GANESH YADLAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7700 UNIVERSITY CT, STE 2700, WEST CHESTER, OH 45069-6542
(513) 475-7452
(513) 475-7453
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-085030
OH
207RN0300X
Nephrology Physician
Primary
35085030
OH
208000000X
Pediatrics Physician
35-085030
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200501460
—
IN
05
—
2524101
—
OH
05
—
64092729
—
KY
Enumeration date
05/04/2006
Last updated
08/17/2017
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