DR. NINA YEDAVALLI (NPI# 1306094842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306094842 |
| Entity Type | Individual |
| Full Name | DR. NINA YEDAVALLI |
| Other Name | DR. NINA UNDEVIA |
| Credential | M.D. |
| Practice Address |
1301 Copperfield Ave Suite 105 Joliet IL 60432-2054 |
| Practice Telephone | 8157401400 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2009-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036112219 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1301 COPPERFIELD AVE SUITE 105 |
| City | JOLIET |
| State | IL |
| Zip Code | 60432-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104807890 | Salwa F Asaad | Radiology | 1301 Copperfield Ave, Suite 116, Joliet, IL 60432-2054 | 2005-11-09 |
| 1093094690 | Alma Mia Rosal Martija | General Practice | 1301 Copperfield Ave, Suite 206, Joliet, IL 60432-2054 | 2011-08-12 |
| 1861607285 | Sanitas Medical Group Sc | Internal Medicine | 1301 Copperfield Ave, Suite 203, Joliet, IL 60432-2056 | 2007-05-11 |
| 1083748420 | Catherine M. Craig | Advanced Practice Midwife | 1301 Copperfield Ave, Suite 214, Joliet, IL 60432-2054 | 2007-03-16 |
| 1144356213 | Diana Julia Jaime | Internal Medicine | 1301 Copperfield Ave, Suite 203, Joliet, IL 60432-2056 | 2007-02-25 |
| 1467509711 | Joliet Oncology Hematology Associates Ltd. | Internal Medicine | 1301 Copperfield Ave, Joliet, IL 60432-2054 | 2007-01-05 |
| 1538243134 | Augustine Roland | Pediatrics | 1301 Copperfield Ave, Suite 201, Joliet, IL 60432 | 2006-10-24 |
| 1801907548 | Daniel Gutierrez | Internal Medicine | 1301 Copperfield Ave, Suite 203, Joliet, IL 60432-2054 | 2006-08-31 |
| 1720190200 | Joyce A Albi | Obstetrics & Gynecology | 1301 Copperfield Ave, Suite 202, Aunt Martha's, Joliet, IL 60432-2054 | 2006-08-31 |
| 1477663961 | Michel Kim Borders | Obstetrics & Gynecology | 1301 Copperfield Ave, Suite 110, Joliet, IL 60482-2054 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053830943 | Abilio Milo | General Practice | 213 East Cass Street, Joliet, IL 60432 | 2017-09-12 |
| 1508284258 | Allison R. Nichols | Social Worker | 62 W. Washington St., Joliet, IL 60432 | 2014-03-31 |
| 1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
| 1124388624 | Fresenius Medical Care of Plainfield, LLC | Clinic/Center | 721 E Jackson St., Joliet, IL 60432 | 2012-05-18 |
| 1730375833 | Rhonda Denise Posley | Licensed Practical Nurse | 215 Clinton, Suite B, Joliet, IL 60432 | 2007-09-21 |
| 1538385463 | Frank C Bender | Family Medicine | 213 E Cass St, Joliet, IL 60432 | 2007-04-18 |
| 1366501835 | Health Care Delivery Systems | Internal Medicine | 1301 Copperfield Avenue, Suite 202, Joliet, IL 60432 | 2006-12-08 |
| 1134294614 | Mary Lee Johnson | Counselor | 62 West Washington Street, Joliet, IL 60432 | 2006-11-21 |
| 1609953223 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 58 E Clinton St Ste 200, Joliet, IL 60432 | 2006-11-01 |
| 1487740932 | Carlla Duster Franklin | Dentist | 2241 Theodore Street, Crest Hill, IL 60432 | 2006-10-04 |
| Find all providers in zip 60432 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245325018 | Worood Abboud | Internal Medicine | 2614 W. Jefferson St, Joliet, IL 60435 | 2006-10-04 |
| 1225024722 | Jason J Suh | Internal Medicine | 2614 West Jefferson Street, Joliet Oncology Hematology Associates, Ltd., Joliet, IL 60435 | 2005-09-21 |
| 1447245071 | Sarode K Pundaleeka | Internal Medicine | 2614 W Jefferson St, Joliet, IL 60435 | 2005-09-20 |
| 1104146505 | Salman Abdul Waheed | Internal Medicine | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2010-06-08 |
| 1861428583 | Sunil Narula | Internal Medicine | 1301 Copperfield Ave, #105, Joliet, IL 60432-2054 | 2006-06-24 |
| 1245296896 | Ellen J Gustafson | Internal Medicine | 2614 W Jefferson St, Joliet, IL 60435 | 2006-04-24 |
| 1568458107 | Ali R Lakhani | Internal Medicine | 2614 W Jefferson St, Joliet, IL 60435 | 2005-09-20 |
| 1952396582 | Kulumani M Sivarajan | Internal Medicine | 2614 W Jefferson St, Joliet, IL 60435 | 2005-09-20 |
| 1851386460 | Nafisa D Burhani | Internal Medicine | 2614 W Jefferson St, Joliet, IL 60435 | 2005-09-20 |
| 1396730909 | Sanjiv S Modi | Internal Medicine | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2005-09-20 |
| Find all providers in JOLIET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.