Provider Demographics
NPI:1972741767
Name:YARABOTHU, DILIP (DO)
Entity Type:Individual
Prefix:DR
First Name:DILIP
Middle Name:
Last Name:YARABOTHU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PROSPECT ST
Mailing Address - Street 2:EMERGENCY DEPT.
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3925
Mailing Address - Country:US
Mailing Address - Phone:603-577-2581
Mailing Address - Fax:603-577-2007
Practice Address - Street 1:8 PROSPECT ST
Practice Address - Street 2:EMERGENCY DEPT.
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3925
Practice Address - Country:US
Practice Address - Phone:603-577-2581
Practice Address - Fax:603-577-2007
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH15783207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine