Yamulla, Robert

Yamulla, Robert is an individual health care provider with primary practice located at 128 West 14Th St , Hazleton PA 18201-3266. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Yamulla, Robert can be contacted via phone (570) 455-7677.

Contact Information

Primary practice address
128 West 14Th St Hazleton PA 18201-3266
Phone: (570) 455-7677
Fax: (570) 455-7627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD031594E Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD031594E Pennsylvania

Profile Details

NPI number 1376527655
LBN Legal business name Yamulla, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Mar 29th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376527655 NPPES
Pennsylvania MEDICAID 0010850580001
Pennsylvania Other 072376

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