Yerneni, Madhavi
Yerneni, Madhavi is an individual health care provider with primary practice located at 407 East Ave Suite 120, Pawtucket RI 02860-5299. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Yerneni, Madhavi can be contacted via phone (401) 725-4700.Contact Information
Primary practice address
407 East Ave Suite 120
Pawtucket RI 02860-5299
Phone: (401) 725-4700
Fax: (401) 725-4740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD09240 | Rhode Island |
Profile Details
| NPI number | 1053375832 |
|---|---|
| LBN Legal business name | Yerneni, Madhavi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | May 6th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053375832 | NPPES |
| Rhode Island | Other | 21727-3 | BLUE SHIELD OF RI |
| Rhode Island | Other | 400240 | BLUE SHIELD OF RI |
| Rhode Island | MEDICAID | 9025203 | BLUE SHIELD OF RI |
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