Provider Demographics
NPI:1801183520
Name:YADLAPALLI, NAVIN KRISHNA (MD)
Entity type:Individual
Prefix:
First Name:NAVIN
Middle Name:KRISHNA
Last Name:YADLAPALLI
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 1:7575 STATE ROAD 52
Mailing Address - Street 2:
Mailing Address - City:BAYONET POINT
Mailing Address - State:FL
Mailing Address - Zip Code:34667-6716
Mailing Address - Country:US
Mailing Address - Phone:727-861-9800
Mailing Address - Fax:727-868-6795
Practice Address - Street 1:7575 STATE ROAD 52
Practice Address - Street 2:
Practice Address - City:BAYONET POINT
Practice Address - State:FL
Practice Address - Zip Code:34667-6716
Practice Address - Country:US
Practice Address - Phone:727-861-9800
Practice Address - Fax:727-868-6795
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA247838207R00000X
NY288227-01207R00000X
FLME157473207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine