Provider Demographics
NPI:1871503490
Name:RAO, YALLAPRAGADA S (MD)
Entity Type:Individual
Prefix:DR
First Name:YALLAPRAGADA
Middle Name:S
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1910 ROYALTY DR
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-3021
Mailing Address - Country:US
Mailing Address - Phone:909-865-9890
Mailing Address - Fax:909-865-9724
Practice Address - Street 1:1910 ROYALTY DR
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-3021
Practice Address - Country:US
Practice Address - Phone:714-865-9890
Practice Address - Fax:714-865-7724
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA327712085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A32771OtherOTHER
CA00A327710Medicaid
CA00A327710Medicaid