Sulochana D Yalavarthi, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

036061179 Issued in IL

Practice address

1 Ingalls Dr
Cancer Care Center
Harvey, IL 60426-3558

Phone

(708) 915-6620

Fax

(708) 915-3782

NPI assigned

Jul 28, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1255331658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 LINCOLN HWY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432319",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INGALLS DR",
            "address_2": "CANCER CARE CENTER",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263558",
            "telephone_number": "708-915-6620",
            "fax_number": "708-915-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALAVARTHI",
        "first_name": "SULOCHANA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036061179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061179",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Woods, R.D.
• Nicholas Taylor Woolf, MD, MA
• Walentyna Woronko
• Lisa K Wright, M.D.
• Zachary Wright, M.D.
• Jeffrey Yeh, M.D.
• Engin Yilmaz, MD
• Jennifer R Young, LPC
• Nausheen Zufishan, MD
• Judith Lee Zwierz, M.H.S.

• Radiation Oncology Physician in Harvey, IL
• Providers in Harvey, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.