Provider Demographics
NPI:1043449663
Name:YARRAPUREDDY, PADMA PALLAVI (MD)
Entity Type:Individual
Prefix:DR
First Name:PADMA
Middle Name:PALLAVI
Last Name:YARRAPUREDDY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE
Mailing Address - Street 2:MS 21110Q
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:651-653-2100
Mailing Address - Fax:651-653-2125
Practice Address - Street 1:1430 HIGHWAY 96 E
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110
Practice Address - Country:US
Practice Address - Phone:651-653-2100
Practice Address - Fax:651-653-2125
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2019-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN55008208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics