Healthcare Provider Details

I. General information

NPI: 1699065953
Provider Name (Legal Business Name): BHARATI DEVI YALAMANCHILI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEVI BHARATI YALAMANCHILI M.D.

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12902 USF MAGNOLIA DR
TAMPA FL
33612-9416
US

IV. Provider business mailing address

PO BOX 198441
ATLANTA GA
30384-8441
US

V. Phone/Fax

Practice location:
  • Phone: 813-745-4673
  • Fax: 813-449-8999
Mailing address:
  • Phone: 813-745-4673
  • Fax: 813-449-8999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME123063
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME123063
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: