Provider Demographics
NPI:1760619324
Name:YARED, EDOM (MD)
Entity Type:Individual
Prefix:
First Name:EDOM
Middle Name:
Last Name:YARED
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 1:10801 LOCKWOOD DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1562
Mailing Address - Country:US
Mailing Address - Phone:301-681-0004
Mailing Address - Fax:301-593-1981
Practice Address - Street 1:10801 LOCKWOOD DR STE 300
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901
Practice Address - Country:US
Practice Address - Phone:301-681-0004
Practice Address - Fax:301-593-1981
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0081758207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine