Provider Demographics
NPI:1265187678
Name:ATTIKU, YAMINI (MBBS, MD)
Entity type:Individual
Prefix:DR
First Name:YAMINI
Middle Name:
Last Name:ATTIKU
Suffix:
Gender:F
Credentials:MBBS, MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9617 GULF RESEARCH LN
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4555
Mailing Address - Country:US
Mailing Address - Phone:239-418-0262
Mailing Address - Fax:239-274-0773
Practice Address - Street 1:9617 GULF RESEARCH LN
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4555
Practice Address - Country:US
Practice Address - Phone:239-418-0999
Practice Address - Fax:394-180-0091
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-14
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL34316207WX0107X
FLTRN34316207WX0107X
FLME169494207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty