Active NPI
Manohar Yedulapuram MD PA
- Hospitalist Physician
- Plano, TX
National Provider Identifier
1073892519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- M1411
- Legal business name
- MANOHAR YEDULAPURAM MD PA
- Practice address
- 7501 Valleen Dr
Plano, TX 75024-3977 - Phone
- (972) 618-1020
- NPI assigned
- Aug 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manohar Yedulapuram, M.D
- Title
- Hospitalist
- Phone
- (972) 618-1020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | M1411 | TX | Primary |
Addresses
Primary practice location
7501 Valleen Dr
Plano, TX 75024-3977
Mailing address
7501 Valleen Dr
Plano, TX 75024-3977
Phone (972) 618-1020
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321488000000",
"number": "1073892519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 VALLEEN DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750243977",
"telephone_number": "972-618-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 VALLEEN DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750243977",
"telephone_number": "972-618-1020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANOHAR YEDULAPURAM MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-16",
"last_updated": "2011-11-17",
"status": "A",
"authorized_official_last_name": "YEDULAPURAM",
"authorized_official_first_name": "MANOHAR",
"authorized_official_title_or_position": "HOSPITALIST",
"authorized_official_telephone_number": "972-618-1020",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "TX",
"license": "M1411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.