Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 116820 | NY |
NPI | 1447210323 |
---|---|
Provider Name | Dr. Rao A.k. Yalamanchili |
First Address | Staten Island, NY 10304-1227 |
Second Address | Brooklyn, NY 11201-4601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D46808 | (02) | NY |