Provider Demographics
NPI:1477514057
Name:YAHYA, ZUHAIR O (MD)
Entity Type:Individual
Prefix:
First Name:ZUHAIR
Middle Name:O
Last Name:YAHYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1334 W COVINA BLVD
Mailing Address - Street 2:202
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-3211
Mailing Address - Country:US
Mailing Address - Phone:909-592-2023
Mailing Address - Fax:909-592-6319
Practice Address - Street 1:1334 W COVINA BLVD
Practice Address - Street 2:202
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-3211
Practice Address - Country:US
Practice Address - Phone:909-592-2023
Practice Address - Fax:909-592-6319
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31214174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A312140Medicaid
CAA31214Medicare ID - Type Unspecified
CAA26390Medicare UPIN