MEDICARE: MR. SANJAY YADAV 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	174400000X	Specialist	35084146	OH
2	207RH0003X	Hematology & Oncology Physician	35.084146	OH
3	207RH0003X	Hematology & Oncology Physician	35184146	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	H725310	OTHER	OH	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1528177714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SANJAY YADAV M.D.

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:	614-851-8469
Fax Number	:	614-851-8528

Provider Business Practice Location Address
First Line	:	5141 W BROAD ST STE 130
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1984
Country	:	US
Telephone Number	:	614-851-8469
Fax Number	:	614-851-8528

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	01/05/2022

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Directions to “ MR. SANJAY YADAV M.D.” Practice Location

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