Yannam, Govardhana Rao

Yannam, Govardhana Rao is an individual health care provider with primary practice located at 2060 Space Park Dr Ste 100 , Houston TX 77058-3674. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Yannam, Govardhana Rao can be contacted via phone (281) 333-1703.

Contact Information

Primary practice address
2060 Space Park Dr Ste 100 Houston TX 77058-3674
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 5541 Nebraska
Allopathic & Osteopathic Physicians / Surgery 208600000X 6026 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X Q9558 Texas

Profile Details

NPI number 1023208949
LBN Legal business name Yannam, Govardhana Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 21st, 2022 - about 2 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 1023208949 NPPES
Texas MEDICAID 373627401

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