MEDICARE: YANA SHTERN M.D.

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
1	207RN0300X	Nephrology Physician	ME114615	FL
2	207R00000X	Internal Medicine Physician	ME114615	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME114615	OTHER	FL	STATE LICENSE
2	260880	OTHER	NY	NY STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1497940852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANA SHTERN M.D.

Provider Business Mailing Address
First Line	:	11380 PROSPERITY FARMS RD STE 114
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3464
Country	:	US
Telephone Number	:	561-834-9280
Fax Number	:	561-834-9279

Provider Business Practice Location Address
First Line	:	11380 PROSPERITY FARMS RD STE 114
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3464
Country	:	US
Telephone Number	:	561-834-9280
Fax Number	:	561-834-9279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	10/12/2024

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Directions to “ YANA SHTERN M.D.” Practice Location

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