Provider Demographics
NPI:1568671170
Name:YAREMA, THOMAS ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ROBERT
Last Name:YAREMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9099 SOQUEL DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-4033
Mailing Address - Country:US
Mailing Address - Phone:808-639-9950
Mailing Address - Fax:831-662-2997
Practice Address - Street 1:9099 SOQUEL DR
Practice Address - Street 2:SUITE 7
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4033
Practice Address - Country:US
Practice Address - Phone:808-639-9950
Practice Address - Fax:831-662-2997
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC41819208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice