Healthcare Provider Details

I. General information

NPI: 1992615124
Provider Name (Legal Business Name): HARIOM YADAV
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6331 STATE ROAD 54
NEW PORT RICHEY FL
34653
US

IV. Provider business mailing address

6331 STATE ROAD 54
NEW PORT RICHEY FL
34653-6037
US

V. Phone/Fax

Practice location:
  • Phone: 813-419-0781
  • Fax:
Mailing address:
  • Phone: 813-419-0781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: