Provider Demographics
NPI:1437345709
Name:SARIPALLI, YAMINI VENKATA LAXMI (MD)
Entity Type:Individual
Prefix:
First Name:YAMINI
Middle Name:VENKATA LAXMI
Last Name:SARIPALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 79632
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-0632
Mailing Address - Country:US
Mailing Address - Phone:301-762-5020
Mailing Address - Fax:301-309-3783
Practice Address - Street 1:1201 SEVEN LOCKS RD
Practice Address - Street 2:SUITE 111
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20854-2931
Practice Address - Country:US
Practice Address - Phone:301-762-5020
Practice Address - Fax:301-294-7569
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD036892207N00000X
MDD63380207N00000X
VA0101245220207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC156560YHTBMedicare PIN
MD156560YCBMMedicare PIN