MEDICARE: DR. YOLANDA T CHIK 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	2084N0400X	Neurology Physician	D0071479	MD

General Provider Information

NPI Number	:	1417162058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YOLANDA T CHIK MD

Provider Business Mailing Address
First Line	:	6410 ROCKLEDGE DR STE 610
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1844
Country	:	US
Telephone Number	:	15-309-7443
Fax Number	:

Provider Business Practice Location Address
First Line	:	6410 ROCKLEDGE DR STE 610
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1844
Country	:	US
Telephone Number	:	301-530-9744
Fax Number	:

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

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	04/14/2021

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