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Dr. Gautam Yadla, MD
Student in an Organized Health Care Education/Training Program in Cheverly, Maryland
NPI 1295396539

Gautam Yadla is a Student in an Organized Health Care Education/Training Program based in Cheverly, MD. Gautam Yadla practices in Cheverly, MD and has the professional credentials of MD. The NPI Number for Gautam Yadla is 1295396539 and holds a License No. (Maryland).

The current practice location address for Gautam Yadla is 3001 Hospital Dr Fl 5, Cheverly, MD and can be reached out via phone at 301-618-3772.

Location: 3001 Hospital Dr Fl 5, Cheverly, MD, 20785-1189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295396539
Provider Name
Gautam Yadla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3001 Hospital Dr Fl 5, Cheverly, MD, 20785-1189
Phone Number
301-618-3772
Fax Number
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3001 Hospital Dr Fl 5
City
Cheverly
State
Maryland
Zip
20785-1189
Phone Number
301-618-3772
Fax Number
person
Provider Business Mailing Address Details
Address
3001 Hospital Dr Fl 5
City
Cheverly
State
Maryland
Zip
20785-1189
Phone Number
301-618-3772
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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