Chennu, Yamini P.

Chennu, Yamini P. is an sole proprietor health care provider with primary practice located at 713 Grainger Street , Fort Worth TX 76104-7400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Chennu, Yamini P. can be contacted via phone (817) 336-3968.

Contact Information

Primary practice address
713 Grainger Street Fort Worth TX 76104-7400
Fax: (817) 336-3917
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X N0696 Texas

Profile Details

NPI number 1548210263
LBN Legal business name Chennu, Yamini P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Jun 13th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548210263 NPPES
Virginia MEDICAID 010049661
Virginia Other 0043RR

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