Provider Demographics
NPI:1255479028
Name:YELDANDI, ARUNA GNANAINDER (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUNA
Middle Name:GNANAINDER
Last Name:YELDANDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:248 CONGRESSIONAL CT
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3744
Mailing Address - Country:US
Mailing Address - Phone:973-568-5348
Mailing Address - Fax:973-597-1189
Practice Address - Street 1:310 CENTRAL AVE
Practice Address - Street 2:SUITE 109,
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2835
Practice Address - Country:US
Practice Address - Phone:973-677-1999
Practice Address - Fax:973-677-1998
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA057760207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6403000Medicaid
NJYE852299Medicare ID - Type Unspecified
NJ6403000Medicaid