Healthcare Provider Details

I. General information

NPI: 1013262674
Provider Name (Legal Business Name): NEHA YADAV M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2012
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 150TH AVE SE
BELLEVUE WA
98006-1668
US

IV. Provider business mailing address

PO BOX 34703
SEATTLE WA
98124-1703
US

V. Phone/Fax

Practice location:
  • Phone: 425-460-7140
  • Fax: 425-460-7129
Mailing address:
  • Phone: 253-681-6626
  • Fax: 425-460-7161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number60550226
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: