Provider Demographics
NPI:1306288642
Name:YENDALA, RACHANA (MD)
Entity type:Individual
Prefix:
First Name:RACHANA
Middle Name:
Last Name:YENDALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MAILSTOP 400S
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131
Mailing Address - Country:US
Mailing Address - Phone:913-317-3230
Mailing Address - Fax:501-504-6642
Practice Address - Street 1:12330 METCALF AVE STE 580
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1308
Practice Address - Country:US
Practice Address - Phone:913-317-3230
Practice Address - Fax:913-317-7987
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2022038656207RH0003X
KS0446715207RH0003X
ARE11887207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology