Individual
YAMINI P. CHENNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
713 GRAINGER STREET, FORT WORTH, TX 76104-7400
(817) 336-3968
(817) 336-3917
Mailing address
713 GRAINGER ST, FORT WORTH, TX 76104-7400
(817) 336-3968
(817) 336-3917
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
N0696
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043RR
BCBS
TX
05
—
010049661
—
VA
Enumeration date
05/11/2006
Last updated
04/17/2026
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