Provider Demographics
NPI:1992146419
Name:YALLANKI, NARENDRA (MBBS)
Entity type:Individual
Prefix:DR
First Name:NARENDRA
Middle Name:
Last Name:YALLANKI
Suffix:
Gender:
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3533 S. ALAMEDA ST
Mailing Address - Street 2:SLOAN BUILDING 3RD FLOOR
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411
Mailing Address - Country:US
Mailing Address - Phone:361-694-6128
Mailing Address - Fax:
Practice Address - Street 1:3533 S. ALAMEDA ST
Practice Address - Street 2:SLOAN BUILDING 3RD FLOOR
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411
Practice Address - Country:US
Practice Address - Phone:361-694-6128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV23392080P0206X
SC819622080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC819626Medicaid