Individual
VENKATA YALAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2651 BOLTON BOONE DR, DESOTO, TX 75115-2011
(214) 358-2300
(214) 366-6127
Mailing address
1420 VICEROY DR, DALLAS, TX 75235-2208
(214) 358-2300
(214) 366-6127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087404
MI
207RN0300X
Nephrology Physician
Primary
P4272
TX
Other
Enumeration date
04/22/2008
Last updated
05/10/2016
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