Healthcare Provider Details

I. General information

NPI: 1457454407
Provider Name (Legal Business Name): YOLANDA UY-YAP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 S BURNETT RD
SPRINGFIELD OH
45505-2720
US

IV. Provider business mailing address

3920 VALLEY BROOK DR S
ENGLEWOOD OH
45322-3617
US

V. Phone/Fax

Practice location:
  • Phone: 937-328-3385
  • Fax:
Mailing address:
  • Phone: 937-832-8068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35-079258
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: