| Vanitha Yadalla MD LLC | |
|
3350 State Route 138 Ste 117 Wall Township NJ 07719-9694 | |
| (732) 280-2727 | |
| (732) 280-1147 |
| Full Name | Vanitha Yadalla MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3350 State Route 138 Ste 117, Wall Township, New Jersey |
| Authorized Official Name and Position | Vanitha Yadalla (OWNER) |
| Authorized Official Contact | 7322802727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanitha Yadalla MD LLC 3350 State Route 138 Ste 117 Wall Township NJ 07719-9694 Ph: (732) 280-2727 | Vanitha Yadalla MD LLC 3350 State Route 138 Ste 117 Wall Township NJ 07719-9694 Ph: (732) 280-2727 |
| NPI Number | 1326200361 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/17/2025 |
| Certification Date | 07/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326200361 | NPI | - | NPPES |
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Horizon Bcbs of NJ - Wall Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1427 Wyckoff Rd, Wall Township, NJ 07727 Phone: 732-256-5044 |
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