DR. BHANU PRAKASH YADIKI M.D. NPI 1669705091

NPI Information

NPI: 1669705091
Provider Name: DR. BHANU PRAKASH YADIKI, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6730 ROOSEVELT AVE STE 303
MIDDLETOWN, OH
ZIP 45005
Phone: (513) 874-0486
Get Directions

DR. Bhanu Prakash Yadiki, M.D. is a family medicine in Middletown, OH with 22 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Bhanu Prakash Yadiki, M.D. NPI is 1669705091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6730 ROOSEVELT AVE STE 303
MIDDLETOWN, OH
ZIP 45005
Phone: (513) 874-0486

The NPI 1669705091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2009 and was last updated on 10/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208M00000X	Hospitalist	27163	WEST VIRGINIA	No
2	207Q00000X	Family Medicine	27163	WEST VIRGINIA	No
3	208M00000X	Hospitalist	35-146420	OHIO	No
4	207Q00000X	Family Medicine	35-146420	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7100535230	MEDICAID	KENTUCKY
2	1669705091	MEDICAID	WEST VIRGINIA
3	0287260	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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