NPIMap

Organization Active NPI

Yadla LLC

  • Internal Medicine Physician
  • Lanham, MD
National Provider Identifier
1396918124
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D61446 Issued in MD
Legal business name
YADLA LLC
Practice address
9470 Annapolis Rd
#315
Lanham, MD 20706-3025
Phone
(301) 577-8811
Fax
(301) 577-5183
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Kalaiselvi Ayyanar, MD
Title
Physician
Phone
(301) 577-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D61446 MD Primary

Addresses

Primary practice location

9470 Annapolis Rd
#315
Lanham, MD 20706-3025

Mailing address

9470 Annapolis Rd
#315
Lanham, MD 20706-3025
Phone (301) 577-8811

National Provider Directory

National Provider Directory
Tax ID family
Yadla LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9470 Annapolis Rd
Ste 315
Lanham, MD 20706
Phone (301) 577-7286

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1396918124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD",
            "address_2": "#315",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063025",
            "telephone_number": "301-577-8811",
            "fax_number": "301-577-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD",
            "address_2": "#315",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063025",
            "telephone_number": "301-577-8811",
            "fax_number": "301-577-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "AYYANAR",
        "authorized_official_first_name": "KALAISELVI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-577-8811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D61446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.