Provider Demographics
NPI:1497705164
Name:YASAR, AYSE SIBEL (MD)
Entity Type:Individual
Prefix:DR
First Name:AYSE
Middle Name:SIBEL
Last Name:YASAR
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 1:4790 CAUGHLIN PKWY # 443
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-0907
Mailing Address - Country:US
Mailing Address - Phone:775-291-8056
Mailing Address - Fax:
Practice Address - Street 1:4190 BADGER CIRCLE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519
Practice Address - Country:US
Practice Address - Phone:775-291-8056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2084P0800X2084P0800X
NV108112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100508036Medicaid
NVV38733Medicare ID - Type UnspecifiedPHYSICIAN
NV100508036Medicaid