Organization Active NPI

Manohar Yedulapuram MD PA

  • Hospitalist Physician
  • Plano, TX
National Provider Identifier
1073892519
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
M1411 Issued in TX
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

Updated by the provider on Nov 17, 2011

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)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.