Healthcare Provider Details

I. General information

NPI: 1992146419
Provider Name (Legal Business Name): NARENDRA YALLANKI MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2013
Last Update Date: 02/26/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 S. ALAMEDA ST SLOAN BUILDING 3RD FLOOR
CORPUS CHRISTI TX
78411
US

IV. Provider business mailing address

3533 S. ALAMEDA ST SLOAN BUILDING 3RD FLOOR
CORPUS CHRISTI TX
78411
US

V. Phone/Fax

Practice location:
  • Phone: 361-694-6128
  • Fax:
Mailing address:
  • Phone: 361-694-6128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberV2339
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: