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NPI Code Detail

MEDICARE: DR. SUBHASHINI YALAMANCHI M.D.

MEDICARE: DR. SUBHASHINI YALAMANCHI 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
1208000000XPediatrics PhysicianME040694FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356372528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUBHASHINI YALAMANCHI M.D.
Provider Business Mailing Address
First Line : 5232 E LEITNER DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-2043
Country : US
Telephone Number : 954-753-3039
Fax Number :
Provider Business Practice Location Address
First Line : 225 S CONGRESS AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-4616
Country : US
Telephone Number : 561-274-3100
Fax Number : 561-274-3144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 07/08/2007

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