Individual
DR. SUSHMA YALAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 GESSNER RD STE 250, HOUSTON, TX 77024-2534
(713) 467-6474
Mailing address
2855 GRAMERCY ST # 400, HOUSTON, TX 77025-1697
(713) 558-8728
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
229817
NY
207W00000X
Ophthalmology Physician
42964
TX
207W00000X
Ophthalmology Physician
Primary
P8003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212034704
—
TX
Enumeration date
10/13/2006
Last updated
03/22/2021
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