Provider Demographics
NPI:1679633234
Name:YADLA, HEMA P (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMA
Middle Name:P
Last Name:YADLA
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 1:9470 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3025
Mailing Address - Country:US
Mailing Address - Phone:301-577-8811
Mailing Address - Fax:301-577-5183
Practice Address - Street 1:9470 ANNAPOLIS RD
Practice Address - Street 2:SUITE 315
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3025
Practice Address - Country:US
Practice Address - Phone:301-577-8811
Practice Address - Fax:301-577-5183
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD21883207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0477220-2Medicaid
MD785071900Medicaid
DC0477220-2Medicaid
MD785071900Medicaid