Basic Information
Provider Information
NPI: 1003004417
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YILMAZ
FirstName: NEVIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 980257
Address2:  
City: RICHMOND
State: VA
PostalCode: 232980257
CountryCode: US
TelephoneNumber: 8048289783
FaxNumber:  
Practice Location
Address1: 1250 E MARSHALL ST
Address2:  
City: RICHMOND
State: VA
PostalCode: 232985051
CountryCode: US
TelephoneNumber: 8048289783
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/10/2007
LastUpdateDate: 10/10/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X0116019564VAY Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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