Healthcare Provider Details

I. General information

NPI: 1265158430
Provider Name (Legal Business Name): YOGE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2022
Last Update Date: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1668 MONTELLO AVE NE
WASHINGTON DC
20002-2757
US

IV. Provider business mailing address

1668 MONTELLO AVE NE
WASHINGTON DC
20002-2757
US

V. Phone/Fax

Practice location:
  • Phone: 202-227-1820
  • Fax:
Mailing address:
  • Phone: 202-227-1820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: INDIRA PERSAUD
Title or Position: CEO
Credential:
Phone: 202-227-1820