Provider Demographics
NPI:1760665418
Name:TRAUM, YAEL GITA (MD)
Entity Type:Individual
Prefix:
First Name:YAEL
Middle Name:GITA
Last Name:TRAUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5454 WISCONSIN AVE
Mailing Address - Street 2:SUITE 1215
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6901
Mailing Address - Country:US
Mailing Address - Phone:301-652-5505
Mailing Address - Fax:301-654-8571
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:SUITE 1215
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6901
Practice Address - Country:US
Practice Address - Phone:301-652-5505
Practice Address - Fax:301-654-8571
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00455382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry