Healthcare Provider Details

I. General information

NPI: 1942576772
Provider Name (Legal Business Name): JACQUELINE YANO MAHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JACQUELINE YANO M.D.

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 10/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR RM 8N248 MSC1840 NICHD
BETHESDA MD
20892-4517
US

IV. Provider business mailing address

10 CENTER DR RM 8N248 MSC1840 NICHD
BETHESDA MD
20892-4313
US

V. Phone/Fax

Practice location:
  • Phone: 301-451-0398
  • Fax:
Mailing address:
  • Phone: 301-451-0398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberD0081327
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD047567
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: