Provider Demographics
NPI:1275382764
Name:YAPAMAKULA, SUMA
Entity type:Individual
Prefix:
First Name:SUMA
Middle Name:
Last Name:YAPAMAKULA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7811 PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-5944
Mailing Address - Country:US
Mailing Address - Phone:513-225-2688
Mailing Address - Fax:
Practice Address - Street 1:7811 PLANTATION DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-5944
Practice Address - Country:US
Practice Address - Phone:513-225-2688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care