Individual
SREE TEJA YELAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
660 SUMMIT CROSSING PL STE 302, GASTONIA, NC 28054-2183
(704) 671-6438
Mailing address
PO BOX 74486, ATLANTA, GA 30374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Y455-7808-8905
IL
207RR0500X
Rheumatology Physician
Primary
2021-02823
NC
208M00000X
Hospitalist Physician
60401
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2015
Last updated
12/21/2021
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