Provider Demographics
NPI:1760659973
Name:AKKANTI, YAMINI APARNA (MD)
Entity Type:Individual
Prefix:
First Name:YAMINI
Middle Name:APARNA
Last Name:AKKANTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YAMINI
Other - Middle Name:APARNA
Other - Last Name:JALADANKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:201 CHILDERS DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-4154
Mailing Address - Country:US
Mailing Address - Phone:512-321-3430
Mailing Address - Fax:512-303-5437
Practice Address - Street 1:201 CHILDERS DR
Practice Address - Street 2:SUITE 109
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-4154
Practice Address - Country:US
Practice Address - Phone:512-321-3430
Practice Address - Fax:512-303-5437
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine