Provider Demographics
NPI:1821194119
Name:THARIANI, YUMNA (MD)
Entity Type:Individual
Prefix:DR
First Name:YUMNA
Middle Name:
Last Name:THARIANI
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 1:3216 BUTLER BAY DR N
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-7703
Mailing Address - Country:US
Mailing Address - Phone:405-922-4656
Mailing Address - Fax:
Practice Address - Street 1:3216 BUTLER BAY DR N
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-7703
Practice Address - Country:US
Practice Address - Phone:405-922-4656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL94513207R00000X, 208000000X
OK23932207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics