Individual ProviderKrishna Sowjanya YarlagaddaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1285 Sims St, Gainesville, GA 30501-3851(770) 219-8583(770) 219-8420PECOS EnrollmentBased on the most recent information from CMS, provider Krishna Sowjanya Yarlagadda is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1104180587Provider TypeIndividualFull NameYarlagadda, Krishna SowjanyaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/29/2012Last Updated8/19/2022Contact InformationPractice LocationPractice Address1285 Sims St, Gainesville, GA 30501-3851Phone(770) 219-8583Fax(770) 219-8584Mailing LocationMailing AddressPO Box 742616, Atlanta, GA 30374-2616Phone(770) 219-8420FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense93150GeorgiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense53611ConnecticutCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD-45028Iowa