Provider Demographics
NPI:1104272368
Name:ARUNA YELDANIDI MD LLC
Entity type:Organization
Organization Name:ARUNA YELDANIDI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARUNA
Authorized Official - Middle Name:G
Authorized Official - Last Name:YELDANDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-677-1999
Mailing Address - Street 1:19 CORNELL DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5504
Mailing Address - Country:US
Mailing Address - Phone:973-677-1999
Mailing Address - Fax:973-677-1998
Practice Address - Street 1:19 CORNELL DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5504
Practice Address - Country:US
Practice Address - Phone:973-597-1434
Practice Address - Fax:973-677-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05776000207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty