Individual
DR. PRASANNA LAKSHMI YELAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4007 GATEWAY BLVD, STE 100, NEWBURGH, IN 47630-8947
(812) 842-0907
(812) 490-7054
Mailing address
4015 GATEWAY BLVD STE 2120, NEWBURGH, IN 47630-8925
(812) 842-0907
(812) 464-4485
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01067820A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000653732
ANTHEM
IN
05
—
200988120
—
IN
01
—
351776713
TRICARE PRIME
—
05
—
7100124460
—
KY
01
—
P00849717
RR MEDICARE
KY
01
—
P00849721
RR MEDICARE
IN
Enumeration date
04/12/2007
Last updated
10/28/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us