Individual
VENKATA S YELAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
01052115A
IN
207RC0000X
Cardiovascular Disease Physician
34429
KY
207RI0011X
Interventional Cardiology Physician
Primary
01052115A
IN
207RI0011X
Interventional Cardiology Physician
34429
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000653335
ANTHEM
—
01
—
2092442
UNITED HEALTHCARE
—
05
—
64034515
—
KY
01
—
A11915
HEALTHLINK
—
Enumeration date
09/09/2005
Last updated
04/10/2015
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