Yahanda, Alan M
Yahanda, Alan M is an individual health care provider with primary practice located at 11050 Parkview Circle Dr , Fort Wayne IN 46845-1739. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Yahanda, Alan M can be contacted via phone (833) 274-8326.Contact Information
Primary practice address
11050 Parkview Circle Dr
Fort Wayne IN 46845-1739
Phone: (833) 274-8326
Fax: (260) 266-7935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 071202 | Georgia |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 2021000619 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01053134A | Indiana |
Profile Details
| NPI number | 1366443129 |
|---|---|
| LBN Legal business name | Yahanda, Alan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jun 10th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366443129 | NPPES |
| Ohio | MEDICAID | 2030304 | |
| Ohio | MEDICAID | 200280990 | |
| Ohio | MEDICAID | 104435249 |
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