Individual
DR. SUBBARAO VENKATA YALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
(857) 363-5567
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132
(617) 323-7700
(857) 363-5567
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
41627
MA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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