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NPI Code Detail

MEDICARE: DR. STEVEN DAVID YELLIN MD

MEDICARE: DR. STEVEN DAVID YELLIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician013293LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447255450
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN DAVID YELLIN MD
Provider Business Mailing Address
First Line : PO BOX 8861
Second Line :
City : METAIRIE
State : LA
Zip : 70011-8861
Country : US
Telephone Number : 985-405-5200
Fax Number : 985-405-5201
Provider Business Practice Location Address
First Line : 1495 GAUSE BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-2205
Country : US
Telephone Number : 985-405-5200
Fax Number : 985-405-5201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 02/20/2008

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Directions to “ DR. STEVEN DAVID YELLIN MD” Practice Location

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