Organization
RAVI YALAMANCHILI, M.D, P.A
Active
Other names
Yalamanchili Brain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI YALAMANCHILI M.D (PRESIDENT)
(301) 846-0100
Entity
Organization
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 21702-4502
(301) 846-0100
(301) 846-0244
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063205800
—
MD
05
—
3810005071
—
WV
01
—
CG7938
MEDICARE RAILROAD
—
Enumeration date
12/27/2006
Last updated
07/23/2014
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