Individual
DR. RAVI YALAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
141 THOMAS JOHNSON DR, SUITE 200, FREDERICK, MD 21702-4502
(301) 846-0100
(301) 846-0244
Mailing address
141 THOMAS JOHNSON DR. SUITE 200, FREDERICK, MD 21702
(301) 846-0100
(301) 846-0244
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0044213
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089078000
—
WV
01
—
140003753
MEDICARE RAILROAD
—
05
—
216701800
—
MD
Enumeration date
06/19/2006
Last updated
09/01/2009
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