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NPI Code Detail

MEDICARE: ALEX P YADAO MD

MEDICARE:   ALEX P YADAO  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
1208600000XSurgery Physician0101023123VA

General Provider Information

NPI Number : 1629181052
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX P YADAO MD
Provider Business Mailing Address
First Line : PO BOX 75
Second Line :
City : TRIANGLE
State : VA
Zip : 22172-0075
Country : US
Telephone Number : 703-221-1500
Fax Number : 703-221-1500
Provider Business Practice Location Address
First Line : 18700 OLD TRIANGLE RD
Second Line :
City : TRIANGLE
State : VA
Zip : 22172
Country : US
Telephone Number : 703-221-1500
Fax Number : 703-221-1500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/08/2007

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Directions to “ ALEX P YADAO MD” Practice Location

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