Provider Demographics
NPI:1043393895
Name:YELLA, MALATHI (MD)
Entity Type:Individual
Prefix:DR
First Name:MALATHI
Middle Name:
Last Name:YELLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20 MEADOW RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-5762
Mailing Address - Country:US
Mailing Address - Phone:413-442-8324
Mailing Address - Fax:413-442-8334
Practice Address - Street 1:631B NORTH ST
Practice Address - Street 2:SUITE A
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4102
Practice Address - Country:US
Practice Address - Phone:413-442-8324
Practice Address - Fax:413-442-8334
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2009-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA215563207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA468128OtherTUFTS
MA31526OtherHEALTH NEW ENGLAND
MAJ25433OtherBCBS
MA361432OtherMVP (MOHAWK VALLEY PLAN)
MA695067OtherHPHC
MA1392573OtherCIGNA
MA7765386OtherAETNA/US HEALTHCARE
MA31526OtherHEALTH NEW ENGLAND
MA468128OtherTUFTS