Individual
VIDYA B YALAMANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL CENTER DR, HAZARD, KY 41701-9466
(606) 487-7510
(606) 439-6793
Mailing address
200 MEDICAL CENTER DR, HAZARD, KY 41701-9466
(606) 487-7510
(606) 439-6793
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
24895
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64248941
—
KY
Enumeration date
06/08/2006
Last updated
12/13/2024
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