Provider Demographics
NPI:1699065953
Name:YALAMANCHILI, BHARATI DEVI (MD)
Entity type:Individual
Prefix:DR
First Name:BHARATI
Middle Name:DEVI
Last Name:YALAMANCHILI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DEVI
Other - Middle Name:BHARATI
Other - Last Name:YALAMANCHILI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 198441
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-8441
Mailing Address - Country:US
Mailing Address - Phone:813-745-7365
Mailing Address - Fax:813-449-8618
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:813-745-7365
Practice Address - Fax:813-449-8618
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123063208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015101500Medicaid
FL150NGOtherBLUE CROSS BLUE SHIELD
FL150NGOtherBLUE CROSS BLUE SHIELD