Nandalal Yepuri MD Clarksville LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01027999 Issued in IN

Legal business name

NANDALAL YEPURI MD CLARKSVILLE LLC

Practice address

701 Eastern Blvd
Clarksville, IN 47129-2338

Phone

(812) 284-4437

Fax

(812) 285-0256

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Nandalal Yepuri, MD

Title

MD Owner

Phone

(812) 284-4437

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1710993548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292338",
            "telephone_number": "812-284-4437",
            "fax_number": "812-285-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292338",
            "telephone_number": "812-284-4437",
            "fax_number": "812-285-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANDALAL YEPURI MD CLARKSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "YEPURI",
        "authorized_official_first_name": "NANDALAL",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "812-284-4437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01027999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100075000A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.