Yadav, Lily
Yadav, Lily is an individual health care provider with primary practice located at 1501 Milstead Rd Ne Ste 110 , Conyers GA 30012-3849. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Yadav, Lily can be contacted via phone (770) 760-9949.Contact Information
Primary practice address
1501 Milstead Rd Ne Ste 110
Conyers GA 30012-3849
Phone: (770) 760-9949
Fax: (770) 760-9951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN252873 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN252873 | Georgia |
Profile Details
| NPI number | 1215308028 |
|---|---|
| LBN Legal business name | Yadav, Lily |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2015 |
| Last updated | Aug 20th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215308028 | NPPES |
| Georgia | Other | 20250I1992 | MEDICARE PTAN |
| Georgia | MEDICAID | 003169065B | MEDICARE PTAN |
| Georgia | MEDICAID | 003169065C | MEDICARE PTAN |
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