Provider Demographics
NPI:1457189391
Name:YALLA, NAGA AMRUTHA SAI (MD)
Entity type:Individual
Prefix:MS
First Name:NAGA AMRUTHA SAI
Middle Name:
Last Name:YALLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DENVILLE HOSPITAL, INTERNAL MEDICINE
Mailing Address - Street 2:25 POCONO ROAD
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834
Mailing Address - Country:US
Mailing Address - Phone:973-625-6000
Mailing Address - Fax:
Practice Address - Street 1:DENVILLE HOSPITAL, INTERNAL MEDICINE
Practice Address - Street 2:25 POCONO ROAD
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834
Practice Address - Country:US
Practice Address - Phone:973-625-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2025-06-25
Deactivation Date:2025-05-13
Deactivation Code:
Reactivation Date:2025-06-25
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program