Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 270932 | NY |
Y | 111NI0900X | Internist | 270932 | NY |
N | 207RA0401X | Internist - Addiction Medicine | 270932 | NY |
NPI | 1922325893 |
---|---|
Provider Name | Dr. Siva Harsha Yedlapati |
First Address | Buffalo, NY 14215-3021 |
Second Address | Buffalo, NY 14215-3021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2010 |
Last Update Date | 06/05/2019 |