Provider Demographics
NPI:1275108789
Name:KATAMREDDY, YAMINI
Entity Type:Individual
Prefix:DR
First Name:YAMINI
Middle Name:
Last Name:KATAMREDDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WEST ANAHEIM MEDICAL CENTER 3033 W. ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804
Mailing Address - Country:US
Mailing Address - Phone:714-229-5754
Mailing Address - Fax:
Practice Address - Street 1:WEST ANAHEIM MEDICAL CENTER 3033 W. ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804
Practice Address - Country:US
Practice Address - Phone:714-229-5754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2022-12-01
Deactivation Date:2022-11-23
Deactivation Code:
Reactivation Date:2022-12-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program