Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 263849 | MA |
N | 111NI0900X | Internist | 263849 | MA |
Y | 207RN0300X | Nephrologist | MD473513 | PA |
NPI | 1043604903 |
---|---|
Provider Name | Dr. Yuvaram Nellore Vilambi Reddy |
First Address | Philadelphia, PA 19104-4238 |
Second Address | Philadelphia, PA 19104-4238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2015 |
Last Update Date | 07/07/2021 |