Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | 232330 | NY |
Y | 207YS0123X | Facial Plastic Surgeon | M5983 | TX |
NPI | 1124073606 |
---|---|
Provider Name | Dr. Haresh Yalamanchili |
First Address | Houston, TX 77063-1611 |
Second Address | Houston, TX 77063-1611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 01/05/2014 |