MEDICARE: BASEL YANES 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	207RH0003X	Hematology & Oncology Physician	35-03-7735-Y	OH

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	:	1861482184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BASEL YANES MD

Provider Business Mailing Address
First Line	:	5053 WOOSTER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-2326
Country	:	US
Telephone Number	:	513-751-2145
Fax Number	:	513-751-1848

Provider Business Practice Location Address
First Line	:	400 SUGAR CAMP CIR STE 200
Second Line	:
City	:	OAKWOOD
State	:	OH
Zip	:	45409-1981
Country	:	US
Telephone Number	:	513-751-2273
Fax Number	:	513-751-1840

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

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	02/04/2020

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Directions to “ BASEL YANES MD” Practice Location

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