MEDICARE: SUMA YALAMANCHILI

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	208200000X	Plastic Surgery Physician	DR.0076287	CO

General Provider Information

NPI Number	:	1194189050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMA YALAMANCHILI

Provider Business Mailing Address
First Line	:	8580 SCARBOROUGH DR STE 225
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-7586
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8580 SCARBOROUGH DR STE 225
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-7586
Country	:	US
Telephone Number	:	719-531-5400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2016
Last Update Date	:	01/21/2026

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Directions to “ SUMA YALAMANCHILI ” Practice Location

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