Organization Active NPI

Shyam Yallapragada MD, F.C.C.P.,P.a.

  • Pulmonary Disease Physician
  • North Charleston, SC
National Provider Identifier
1780866046
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
9767 Issued in SC
Legal business name
SHYAM YALLAPRAGADA MD, F.C.C.P.,P.A.
Practice address
2811 Tricom St
North Charleston, SC 29406-9172
Phone
(843) 572-4774
Fax
(843) 572-2508
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Shyam Yallapragada, MD
Title
Owner
Phone
(843) 572-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 9767 SC Primary

Addresses

Primary practice location

2811 Tricom St
North Charleston, SC 29406-9172

Mailing address

2811 Tricom St
North Charleston, SC 29406-9172
Phone (843) 572-4774

Other identifiers 1

IdentifierTypeStateIssuer
GP1033MedicaidSC

National Provider Directory

National Provider Directory

Locations

2811 Tricom St
North Charleston, SC 29406
Phone (843) 572-4774

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1780866046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-572-4774",
            "fax_number": "843-572-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-572-4774",
            "fax_number": "843-572-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAM YALLAPRAGADA MD, F.C.C.P.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "YALLAPRAGADA",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-572-4774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "9767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1033",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.