Yellinedi, Sujatha

Yellinedi, Sujatha is an individual health care provider with primary practice located at 200 Medical Park Blvd Suite 200, Petersburg VA 23805-9274. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Yellinedi, Sujatha can be contacted via phone (804) 431-1100.

Contact Information

Primary practice address
200 Medical Park Blvd Suite 200 Petersburg VA 23805-9274
Phone: (804) 431-1100
Fax: (804) 862-1094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101237658 Virginia

Profile Details

NPI number 1265406607
LBN Legal business name Yellinedi, Sujatha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265406607 NPPES
Virginia Other 541989200 TRICARE
Virginia Other 541989200 TRICARE
Virginia Other 541989200 TRICARE
Virginia Other 541989200 TRICARE
Virginia MEDICAID 010148707 TRICARE
Virginia Other 177532 TRICARE
Virginia MEDICAID 010148723 TRICARE

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