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NPI Code Detail

MEDICARE: DR. RAJESH YALAMANCHILI M.D.

MEDICARE: DR. RAJESH 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
1207ND0900XDermatopathology PhysicianN5495TX

General Provider Information

NPI Number : 1548466212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJESH YALAMANCHILI M.D.
Provider Business Mailing Address
First Line : 4131 DIRECTORS ROW
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8703
Country : US
Telephone Number : 877-697-2447
Fax Number : 855-697-2447
Provider Business Practice Location Address
First Line : 4131 DIRECTORS ROW
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8703
Country : US
Telephone Number : 877-697-2447
Fax Number : 855-697-2447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 10/22/2020

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