Provider Demographics
NPI:1760471817
Name:YESIL, SADIK (MD)
Entity Type:Individual
Prefix:MR
First Name:SADIK
Middle Name:
Last Name:YESIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:947 S THREE NOTCH ST
Mailing Address - Street 2:
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420-5231
Mailing Address - Country:US
Mailing Address - Phone:334-222-3222
Mailing Address - Fax:334-222-3224
Practice Address - Street 1:947 S THREE NOTCH ST
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-5231
Practice Address - Country:US
Practice Address - Phone:334-222-3222
Practice Address - Fax:334-222-3224
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL317862084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL143039Medicaid