Organization
RAVI YALAMANCHILI, M.D, P.A
Active
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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