Provider Demographics
NPI:1801185491
Name:YEAGER, CAROLINE EVA (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:EVA
Last Name:YEAGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15245 SHADY GROVE RD
Mailing Address - Street 2:SUITE 370
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3222
Mailing Address - Country:US
Mailing Address - Phone:240-246-7417
Mailing Address - Fax:240-246-7444
Practice Address - Street 1:15245 SHADY GROVE RD
Practice Address - Street 2:SUITE 370
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3222
Practice Address - Country:US
Practice Address - Phone:240-246-7417
Practice Address - Fax:240-246-7444
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0080243207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty