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Contact Information

CHANDRASHEKHAR YALAMANCHALI, MD
11123 PARKVIEW PLAZA DR STE 202
FORT WAYNE, IN46845-1707
 Phone: 260-425-6100
 Fax: 260-425-6105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHANDRASHEKHAR YALAMANCHALI · (Male)

NPI Number 1336161868
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 10/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01049779A
  • IN Medicaid 200231310
  • IN Medicaid 200231310A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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