Individual
CHAETHANA YALAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-4558
(214) 648-3916
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(713) 542-8145
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57010944
OH
207P00000X
Emergency Medicine Physician
Primary
N0570
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198929501
—
TX
Enumeration date
05/23/2007
Last updated
01/02/2020
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