Provider Demographics
NPI:1497274880
Name:SHEPHERD, YUSHIKA M (MEDICAL ASSISTANT)
Entity Type:Individual
Prefix:MRS
First Name:YUSHIKA
Middle Name:M
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8911 ALLENSWOOD RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4113
Mailing Address - Country:US
Mailing Address - Phone:410-689-9857
Mailing Address - Fax:
Practice Address - Street 1:8911 ALLENSWOOD RD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133
Practice Address - Country:US
Practice Address - Phone:410-689-9857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care