Provider Demographics
NPI:1720036239
Name:SAKNOVSKY, YANA A (DO)
Entity Type:Individual
Prefix:
First Name:YANA
Middle Name:A
Last Name:SAKNOVSKY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 8500 - 6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-807-8000
Mailing Address - Fax:215-807-8235
Practice Address - Street 1:10101 ACADEMY RD
Practice Address - Street 2:SUITE 104
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1120
Practice Address - Country:US
Practice Address - Phone:215-632-4000
Practice Address - Fax:215-632-1661
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010844L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1314224OtherHIGHMARK BLUE SHIELD
PA3560674OtherCIGNA
PA1314224OtherPERSONAL CHOICE
PA9378311OtherPHCS
PA18170OtherHEALTH PARTNERS
PA2007802000OtherIBC,KEYSTONE
PA01935780-02OtherAMERICHOICE
PA1008432380003Medicaid
PA1008432380005Medicaid
PA1008432380002Medicaid
PA1008432380001Medicaid
PA30014247OtherKEYSTONE MERCY
PA7075295OtherAETNA
PA30014247OtherKEYSTONE MERCY
PA1008432380002Medicaid