Healthcare Provider Details

I. General information

NPI: 1891177127
Provider Name (Legal Business Name): SENAN YASAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2015
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE STE 138
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2123 AUBURN AVE STE 138
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-206-1120
  • Fax: 513-206-1122
Mailing address:
  • Phone: 513-206-1120
  • Fax: 513-206-1122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number55304
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2015020125
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35.142060
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: