Provider Demographics
NPI:1689611048
Name:YOSHA, AMANAT M (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANAT
Middle Name:M
Last Name:YOSHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMANAT
Other - Middle Name:AMY
Other - Last Name:MIGLANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 278980
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-426-4084
Mailing Address - Fax:585-426-4631
Practice Address - Street 1:10 S POINTE LNDG
Practice Address - Street 2:SUITE 250
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-3481
Practice Address - Country:US
Practice Address - Phone:585-426-4084
Practice Address - Fax:585-426-4631
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235992-1207Q00000X
WAMD00046339207Q00000X
NY235992207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8456618Medicaid
NYI38848Medicare UPIN
WA8456618Medicaid
WA8860262Medicare ID - Type UnspecifiedUWP