PRATHYUSHA REDDY YETURU (NPI# 1417311051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417311051 |
| Entity Type | Individual |
| Full Name | PRATHYUSHA REDDY YETURU |
| Credential | M.D. |
| Practice Address |
65-11 Booth Street Suite 1c Rego Park NY 11374-4184 |
| Practice Telephone | 7188061434 |
| Practice Fax Number | 7188061435 |
| Mailing Telephone | 7188061434 |
| Mailing Fax Number | 7188061435 |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 300986 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
65-11 BOOTH STREET SUITE 1C |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-4184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679072086 | Atria Health Medical, P.C. | Internal Medicine | 65-11 Booth Street Suite 1c, Rego Park, NY 11374 | 2018-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243990 | Westmoreland Medical PC | Internal Medicine | 65-11 Booth Street, Suite 1c, Rego Park, NY 11374-4184 | 2020-04-11 |
| 1427321025 | Robert Malakov Physician, P.c | Internal Medicine | 98120 Queens Blvd Ste 1lm, Rego Park, NY 11374-4313 | 2012-02-14 |
| 1538438221 | Megha A Manik | Internal Medicine | 6511 Booth Street Suite 1c, Rego Park, NY 11374-4184 | 2011-12-25 |
| 1083904080 | Jack Jienan Fang | Internal Medicine | 6265 Saunders St Apt 5g, Rego Park, NY 11374-1576 | 2011-04-11 |
| 1598086597 | Neriy Yakubov | Internal Medicine | 6535 Fitchett St, Rego Park, NY 11374-5037 | 2010-06-14 |
| 1760612246 | Crescent Medical Care PC | Internal Medicine | 6425 Ellwell Crscent, Rego Park, NY 11374 | 2009-07-20 |
| 1346482437 | Vyacheslav Shamalov | Internal Medicine | 6325 Saunders St, Apt 7a, Rego Park, NY 11374-2034 | 2009-04-03 |
| 1518106764 | Farzad Avraham Haghighi | Internal Medicine | 8904 63rd Dr, Rego Park, NY 11374-3858 | 2009-02-11 |
| 1699925958 | Liana Mirila | Internal Medicine | 6260 99th St, Apt #27, Rego Park, NY 11374-1842 | 2008-09-23 |
| 1821248386 | Nina Dayen | Internal Medicine | 93-40 Queens Blvd, Rego Park, NY 11374 | 2008-09-22 |
| Find all providers in REGO PARK | ||||
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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.