Healthcare Provider Details

I. General information

NPI: 1992910475
Provider Name (Legal Business Name): DR. YOLANDEE RENA BELL-CHEDDAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YOLANDEE RENA BELL-CHEDDAR M.D.

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 04/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E ERIE AVE
PHILADELPHIA PA
19134-1011
US

IV. Provider business mailing address

160 E ERIE AVE
PHILADELPHIA PA
19134-1011
US

V. Phone/Fax

Practice location:
  • Phone: 215-427-4820
  • Fax: 215-427-4822
Mailing address:
  • Phone: 215-427-4820
  • Fax: 215-427-4822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberMD449141
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: