Yadla, Gautam
Yadla, Gautam is an individual health care provider with primary practice located at 121 N 20Th St Ste 20A , Opelika AL 36801-5456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Yadla, Gautam can be contacted via phone (334) 749-6423.Contact Information
Primary practice address
121 N 20Th St Ste 20A
Opelika AL 36801-5456
Phone: (334) 749-6423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 48142 | Alabama |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD.48142 | Alabama |
Profile Details
| NPI number | 1295396539 |
|---|---|
| LBN Legal business name | Yadla, Gautam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2019 |
| Last updated | Jul 18th, 2024 - about last year |
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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