Provider Demographics
NPI:1194030676
Name:LANDAU, YUVAL ELIAHU (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:YUVAL
Middle Name:ELIAHU
Last Name:LANDAU
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 PLEASANT ST
Mailing Address - Street 2:APT #51
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-7155
Mailing Address - Country:US
Mailing Address - Phone:617-383-4190
Mailing Address - Fax:
Practice Address - Street 1:80 PLEASANT ST
Practice Address - Street 2:APT #51
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-7155
Practice Address - Country:US
Practice Address - Phone:617-383-4190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA244915207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)