Provider Demographics
NPI:1700030186
Name:PATEL, YASHMA RAMAN (MD)
Entity Type:Individual
Prefix:
First Name:YASHMA
Middle Name:RAMAN
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11917 E BROADWAY AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6011
Mailing Address - Country:US
Mailing Address - Phone:509-676-3876
Mailing Address - Fax:855-888-7106
Practice Address - Street 1:11917 E BROADWAY AVE STE 201
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6011
Practice Address - Country:US
Practice Address - Phone:509-676-3876
Practice Address - Fax:855-888-7106
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD602382012084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology