Provider Demographics
NPI:1689214470
Name:ADAM, YAHYA (MBBS)
Entity Type:Individual
Prefix:
First Name:YAHYA
Middle Name:
Last Name:ADAM
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:YAHYA
Other - Middle Name:
Other - Last Name:ADAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MBBS
Mailing Address - Street 1:616 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-1016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:616 GRANT ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213-1016
Practice Address - Country:US
Practice Address - Phone:716-578-2665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management