Individual
KISHORE YALAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9100
(806) 354-5717
Mailing address
1400 WALLACE BLVD, ATTN CREDENTIALING DEPT., AMARILLO, TX 79106-1708
(806) 414-9100
(806) 354-5717
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
31692
WV
207RP1001X
Pulmonary Disease Physician
Primary
M2211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175532401
—
TX
05
—
175532403
—
TX
05
—
200065560A
—
OK
05
—
39471357
—
NM
Enumeration date
07/05/2006
Last updated
12/14/2022
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