Individual
VINITA YALAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-5038
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
27466
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051593526
BCBS
AL
01
—
051593532
BCBS
AL
01
—
051593533
BCBS
AL
01
—
051598297
BCBS
AL
05
—
05689298
—
MS
05
—
104650
—
AL
05
—
104651
—
AL
05
—
104652
—
AL
05
—
110335
—
AL
Enumeration date
05/23/2007
Last updated
09/01/2011
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