Individual
SUNITHA YALAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(602) 528-1200
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AZ30989
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742074
AHCCCS
AZ
Enumeration date
10/05/2005
Last updated
09/16/2021
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