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1255574935

NPI Code Detail

MEDICARE: DR. NEHA YADAV MD

MEDICARE: DR. NEHA YADAV MD

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	207RI0011X	Interventional Cardiology Physician	036-125038	IL
2	207R00000X	Internal Medicine Physician	125052356	IL
3	207RC0000X	Cardiovascular Disease Physician	036-125038	IL

General Provider Information

NPI Number	:	1255574935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEHA YADAV MD

Provider Business Mailing Address
First Line	:	1901 W HARRISON ST STE 3620
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3714
Country	:	US
Telephone Number	:	312-864-3036
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 W HARRISON ST STE 3620
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3714
Country	:	US
Telephone Number	:	312-864-3036
Fax Number	:	312-864-9349

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2009
Last Update Date	:	05/04/2021

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Directions to “ DR. NEHA YADAV MD” Practice Location

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