Provider Demographics
NPI:1538279146
Name:MURTHY, YELAMELI S (MD)
Entity Type:Individual
Prefix:DR
First Name:YELAMELI
Middle Name:S
Last Name:MURTHY
Suffix:
Gender:M
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 787
Mailing Address - Street 2:
Mailing Address - City:CEDAR BLUFF
Mailing Address - State:VA
Mailing Address - Zip Code:24609-0787
Mailing Address - Country:US
Mailing Address - Phone:276-964-6764
Mailing Address - Fax:276-964-6765
Practice Address - Street 1:1100 CEDAR VALLEY DR
Practice Address - Street 2:
Practice Address - City:CEDAR BLUFF
Practice Address - State:VA
Practice Address - Zip Code:24609-0787
Practice Address - Country:US
Practice Address - Phone:276-964-6764
Practice Address - Fax:276-964-6765
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101023129207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0671560OtherBLUE SHIELD
246836OtherOTHER
KY68B4OtherBLUE SHIELD
WV0092103000Medicaid
VA065556OtherANTHEM
TN0101OtherJOHN DEERE
KY64666704Medicaid
WV0092103000Medicaid