Organization
ABILENE INFECTIOUS DISEASES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAMINI KALLA MD (PRESIDENT)
(325) 670-6535
Entity
Organization
Contact information
Practice address
1100 N 19TH STREET, SUITE 1B, ABILENE, TX 79601
(325) 670-6535
(325) 670-6590
Mailing address
17 MISSION HILLS, ABILENE, TX 79606
(325) 670-6535
(325) 670-6590
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
L8093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010NC
BLUE CROSS BLUE SHIELD
TX
01
—
136597102
FIRST CARE
TX
05
—
165048301
—
TX
Enumeration date
03/28/2006
Last updated
10/24/2007
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