Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 35.077942 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 35077942-Y | OH |
NPI | 1003846056 |
---|---|
Provider Name | Chakri Yarlagadda |
First Address | Youngstown, OH 44504-1003 |
Second Address | Youngstown, OH 44504-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 13/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2176970 | (05) | OH |
G50761 | (02) | OH |
H131030 | MEDICARE PTAN (01) | OH |