Healthcare Provider Details

I. General information

NPI: 1861482184
Provider Name (Legal Business Name): BASEL YANES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SUGAR CAMP CIR STE 200
OAKWOOD OH
45409-1981
US

IV. Provider business mailing address

5053 WOOSTER RD
CINCINNATI OH
45226-2326
US

V. Phone/Fax

Practice location:
  • Phone: 513-751-2273
  • Fax: 513-751-1840
Mailing address:
  • Phone: 513-751-2145
  • Fax: 513-751-1848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35-03-7735-Y
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: