Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | ML0000021205 | TN |
N | 170100000X | Medical Geneticist | YENAA1 | NY |
NPI | 1518155407 |
---|---|
Provider Name | Dr. Ashwini K Yenamandra |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2007 |
Last Update Date | 10/09/2012 |