Provider Demographics
NPI:1528022274
Name:TOMHE, YASEEN A (MD)
Entity Type:Individual
Prefix:
First Name:YASEEN
Middle Name:A
Last Name:TOMHE
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6454
Mailing Address - Fax:717-851-1665
Practice Address - Street 1:30 MONUMENT ROAD
Practice Address - Street 2:SUITE 1100
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5024
Practice Address - Country:US
Practice Address - Phone:717-851-6454
Practice Address - Fax:717-851-1665
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4184762086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD786221101Medicaid
PA1347159OtherHIGHMARK BLUE SHIELD
PA30156170OtherAMERIHEALTH CARITAS PA
PA053275MMCMedicare PIN
PA30156170OtherAMERIHEALTH CARITAS PA
PA053275FLTMedicare PIN
PAB70607Medicare UPIN
MD786221101Medicaid