Individual
DR. KISHAN YALAMANCHILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-2129
(806) 212-2246
Mailing address
PO BOX 840026, DALLAS, TX 75284-0026
(806) 212-5079
(806) 212-6278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N8364
TX
208M00000X
Hospitalist Physician
Primary
N8364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307688702
—
TX
Enumeration date
04/09/2008
Last updated
05/01/2019
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