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Individual
SUDHA YALAMANCHILI
Active
Individual
SUDHA YALAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP135929
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388382901
—
TX
01
—
388382902
CSHCN MEDICAID
TX
Enumeration date
05/10/2018
Last updated
12/04/2018
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