MEDICARE: SAMUEL J. YANKELOVE, MD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043338692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMUEL J. YANKELOVE, MD, PA

Provider Business Mailing Address
First Line	:	8800 KATY FWY
Second Line	:	SUITE 107
City	:	HOUSTON
State	:	TX
Zip	:	77024-1633
Country	:	US
Telephone Number	:	713-827-8311
Fax Number	:	713-827-7488

Provider Business Practice Location Address
First Line	:	8800 KATY FWY
Second Line	:	SUITE 107
City	:	HOUSTON
State	:	TX
Zip	:	77024-1633
Country	:	US
Telephone Number	:	713-827-8311
Fax Number	:	713-827-7488

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SAMUEL J. YANKELOVE
Credential	:	M.D.
Telephone Number	:	713-827-8311

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	06/21/2018

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