Provider Demographics
NPI:1114541364
Name:YARI, KOLSOUM (MD)
Entity Type:Individual
Prefix:MRS
First Name:KOLSOUM
Middle Name:
Last Name:YARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S FRONT ST, SUITE 3C UPMC PINNACLE INTERNAL MEDICIN
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104
Mailing Address - Country:US
Mailing Address - Phone:717-231-8532
Mailing Address - Fax:717-231-8535
Practice Address - Street 1:999 S FRONT ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101
Practice Address - Country:US
Practice Address - Phone:717-782-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2022-04-15
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2022-03-28
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program