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 917770
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5 TAMPA GENERAL CIR # 750
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3601
Practice Address - Country:US
Practice Address - Phone:813-844-3397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123063207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015101500Medicaid
FL150NGOtherBLUE CROSS BLUE SHIELD
FL150NGOtherBLUE CROSS BLUE SHIELD