MEDICARE: MR. YEHUDA BAR ZVI M.D.

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	207V00000X	Obstetrics & Gynecology Physician	190448	NY
2	207VX0000X	Obstetrics Physician	ME112840	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861468555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. YEHUDA BAR ZVI M.D.

Provider Business Mailing Address
First Line	:	4420 SHERIDAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3552
Country	:	US
Telephone Number	:	954-860-8808
Fax Number	:	954-860-8857

Provider Business Practice Location Address
First Line	:	4420 SHERIDAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3552
Country	:	US
Telephone Number	:	954-860-8808
Fax Number	:	954-860-8857

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	12/04/2019

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