Provider Demographics
NPI:1275895146
Name:YELAN, DONALD MBU
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:MBU
Last Name:YELAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6208 BREEZEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1132
Mailing Address - Country:US
Mailing Address - Phone:240-413-5576
Mailing Address - Fax:
Practice Address - Street 1:6208 BREEZEWOOD CT
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1132
Practice Address - Country:US
Practice Address - Phone:240-413-5576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide