Most Relevant Information
Provider Data
| NPI Number: | 1003811662 |
| Provider Name: | JYOTHSNA YALAVARTHI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 35079536 |
Most Important Dates
| Enumeration Date: | 06/20/2005 |
| Last Updated: | 07/29/2015 |
Provider Practice Location
28050 GRAND RIVER AVE
FARMINGTON HILLS
MI
483365919
Practice Location Phone/Fax
| Phone: | 7344640887 |
| Fax: | 7344020254 |
Provider Mailing Location
36123 SCHOOLCRAFT RD
LIVONIA
MI
481501216
Provider Mailing Phone/Fax
| Phone: | 7344640887 |
| Fax: | 7344020254 |
Suggested EMR
Internist EMR