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NPI Code Detail

MEDICARE: DR. SREERAM YALAMANCHILI M.D.

MEDICARE: DR. SREERAM YALAMANCHILI M.D.
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
1207R00000XInternal Medicine Physician2025-03488NC
2390200000XStudent in an Organized Health Care Education/Training ProgramNC

General Provider Information

NPI Number : 1457980864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SREERAM YALAMANCHILI M.D.
Provider Business Mailing Address
First Line : 2100 STANTONSBURG RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-2818
Country : US
Telephone Number : 252-847-2658
Fax Number : 252-847-8304
Provider Business Practice Location Address
First Line : 2100 STANTONSBURG RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-2818
Country : US
Telephone Number : 252-847-2658
Fax Number : 252-847-8304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2020
Last Update Date : 02/25/2026

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