| Vanama Yerra M.d. Pllc | |
|
901 N Porter Ave Norman OK 73071-6404 | |
| (405) 694-5496 | |
| (405) 701-1769 |
| Full Name | Vanama Yerra M.d. Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 N Porter Ave, Norman, Oklahoma |
| Authorized Official Name and Position | Vanama Yerra (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4055133797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanama Yerra M.d. Pllc Po Box 722788 Norman OK 73070-9117 Ph: (405) 694-5496 | Vanama Yerra M.d. Pllc 901 N Porter Ave Norman OK 73071-6404 Ph: (405) 694-5496 |
| NPI Number | 1326308867 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 05/17/2012 |
| Medicare PECOS PAC ID | 8729235486 |
|---|---|
| Medicare Enrollment ID | O20120831000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326308867 | NPI | - | NPPES |
| 200219490 B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22719 (Oklahoma) | Primary |
| Provider Name | Vanama Yerra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437246717 PECOS PAC ID: 6800959628 Enrollment ID: I20090106000050 |
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