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Organization
R.R. YALAMANCHI, M.D. P.C.
Active
Organization
R.R. YALAMANCHI, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R R YALAMANCHI M.D. (OWNER)
(734) 282-7353
Entity
Organization
Contact information
Practice address
13300 NORTHLINE RD, SOUTHGATE, MI 48195-1065
(734) 282-7353
(734) 282-8178
Mailing address
13300 NORTHLINE RD, SOUTHGATE, MI 48195-1065
(734) 282-7353
(734) 282-8178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102832
—
MI
Enumeration date
04/20/2012
Last updated
04/20/2012
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