Provider Demographics
NPI:1508074048
Name:ROBINSON, YASHICA (MD)
Entity Type:Individual
Prefix:
First Name:YASHICA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YASHICA
Other - Middle Name:ROBINSON
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:612 MADISON ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4401
Mailing Address - Country:US
Mailing Address - Phone:256-763-0036
Mailing Address - Fax:256-763-0234
Practice Address - Street 1:612 MADISON ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4401
Practice Address - Country:US
Practice Address - Phone:256-763-0036
Practice Address - Fax:256-763-0234
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL27133207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL122615Medicaid
AL122612Medicaid
102I162029Medicare PIN