Provider Demographics
NPI:1528198272
Name:YAR, OGEI (MD)
Entity Type:Individual
Prefix:DR
First Name:OGEI
Middle Name:
Last Name:YAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:OGEI
Other - Middle Name:
Other - Last Name:YAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4410 MEDICAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3755
Mailing Address - Country:US
Mailing Address - Phone:210-614-5400
Mailing Address - Fax:
Practice Address - Street 1:4411 MEDICAL DR STE 300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3824
Practice Address - Country:US
Practice Address - Phone:210-614-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0068353207RC0000X
VA0101252537207RC0000X
TN57630207RC0000X
NY248126207RC0000X
TXU1410207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0135542Medicaid
TNQ037427Medicaid
NJ0135542Medicaid