Active NPIIndividual providerSole proprietor

Vanitha Yadalla, MD

Internal Medicine in Wall Township, New Jersey

NPI Number1093702961
Practice location
3350 Rte 138 Ste 117, Wall Township, NJ 07719-9694
Fax
—
Last updated
July 17, 2025

Vanitha Yadalla is an Internal Medicine based in Wall Township, NJ. Vanitha Yadalla practices in Wall Township, NJ and has the professional credentials of MD. The NPI Number for Vanitha Yadalla is 1093702961 and holds a License No. 25MA07674100 (NJ). The current practice location address for Vanitha Yadalla is 3350 Rte 138 Ste 117, Wall Township, NJ 07719-9694 and can be reached out via phone at 732-280-2727.

Provider Profile Details

NPI Number
1093702961
Provider Name
Vanitha Yadalla
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3350 Rte 138 Ste 117, Wall Township, NJ 07719-9694
Phone Number
732-280-2727
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Other Names
-- Vanitha Seenivasan, MD (Former Name)
Provider Enumeration Date
October 5, 2005
Last Update Date
July 17, 2025
Certification Date
July 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3350 Rte 138 Ste 117
Wall Township, NJ 07719-9694
Zip
07719-9694
Phone Number
732-280-2727
Wall Township, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
3350 Rte 138 Ste 117
Wall Township, NJ 07719-9694
City
Wall Township
State
NJ
Zip
07719-9694
Phone Number
732-280-2727

License Information

License Number (1)
25MA07674100
License State (1)
NJ
Taxonomy (1)
Internal Medicine, Geriatric Medicine · 207RG0300X
License Number (2)
25MA07674100
License State (2)
NJ
License Number (3)
25MA07674100
License State (3)
NJ
Taxonomy (3)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Vanitha Yadalla, MD?

The NPI number of Vanitha Yadalla, MD is 1093702961. It was assigned on October 5, 2005 and is currently active in the NPPES registry.

What is the specialty of Vanitha Yadalla, MD?

Vanitha Yadalla, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA07674100.

Where does Vanitha Yadalla, MD practice?

The practice location is 3350 Rte 138 Ste 117, Wall Township, NJ 07719-9694. The office can be reached at 732-280-2727 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093702961 directly on the NPPES registry website.

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