Yadav, Lily

Yadav, Lily is an individual health care provider with primary practice located at 1501 Milstead Rd Ne Ste 110 , Conyers GA 30012-3849. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Yadav, Lily can be contacted via phone (770) 760-9949.

Contact Information

Primary practice address
1501 Milstead Rd Ne Ste 110 Conyers GA 30012-3849
Phone: (770) 760-9949
Fax: (770) 760-9951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN252873 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN252873 Georgia

Profile Details

NPI number 1215308028
LBN Legal business name Yadav, Lily
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2015
Last updated Aug 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215308028 NPPES
Georgia Other 20250I1992 MEDICARE PTAN
Georgia MEDICAID 003169065B MEDICARE PTAN
Georgia MEDICAID 003169065C MEDICARE PTAN

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