MEDICARE: SHALINI YALAMANCHI, MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician

General Provider Information

NPI Number	:	1457948564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHALINI YALAMANCHI, MD PC

Provider Business Mailing Address
First Line	:	3536 MENDOCINO AVE STE 380
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-3612
Country	:	US
Telephone Number	:	707-575-5353
Fax Number	:	707-523-7729

Provider Business Practice Location Address
First Line	:	3536 MENDOCINO AVE STE 380
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-3612
Country	:	US
Telephone Number	:	707-575-5353
Fax Number	:	707-523-7729

Authorized Official
Title or Position	:	MD/OWNER
Name	:	DR. SHALINI YALAMANCHI
Credential	:	MD
Telephone Number	:	707-575-5353

Provider Enumeration Date	:	12/22/2020
Last Update Date	:	12/16/2025

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