Basic Information
| Provider Information | |||||||||
| NPI: | 1174752372 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YALLAPRAGADA | ||||||||
| FirstName: | SRINIVAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8440 WALNUT HILL LN STE 700 | ||||||||
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| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752313824 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143613300 | ||||||||
| FaxNumber: | 2143613431 | ||||||||
| Practice Location | |||||||||
| Address1: | 8440 WALNUT HILL LN STE 700 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143613300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2009 | ||||||||
| LastUpdateDate: | 05/07/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | Q9557 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | 193200000X | Q9557 | TX | N | Group | Multi-Specialty |
No ID Information.