Provider Demographics
NPI:1255569901
Name:YARLAGADDA, RAMESH CHANDRA (MD)
Entity type:Individual
Prefix:
First Name:RAMESH CHANDRA
Middle Name:
Last Name:YARLAGADDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 CANDELARIA
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4713
Mailing Address - Country:US
Mailing Address - Phone:815-323-9340
Mailing Address - Fax:
Practice Address - Street 1:16620 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2327
Practice Address - Country:US
Practice Address - Phone:815-323-9340
Practice Address - Fax:815-323-9340
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ4348207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine