Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 45450 | KY |
NPI | 1023243144 |
---|---|
Provider Name | Dr. Swati Yalamanchi |
First Address | Corbin, KY 40702-1325 |
Second Address | Corbin, KY 40701-8727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2009 |
Last Update Date | 01/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100316060 | (05) | KY |
P01522982 | RR MEDICARE (01) | KY |