Individual
UMESH DYAMENAHALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 MEMORIAL DR STE 612, SOUTH BEND, IN 46601-1085
(574) 232-3325
(574) 232-3358
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
01091288A
IN
2080P0202X
Pediatric Cardiology Physician
Primary
01091288A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201234550
—
IN
Enumeration date
10/13/2006
Last updated
02/13/2026
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