Provider Demographics
NPI:1861468555
Name:BAR ZVI, YEHUDA (MD)
Entity Type:Individual
Prefix:MR
First Name:YEHUDA
Middle Name:
Last Name:BAR ZVI
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 1:4420 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3552
Mailing Address - Country:US
Mailing Address - Phone:954-860-8808
Mailing Address - Fax:954-860-8857
Practice Address - Street 1:4420 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3552
Practice Address - Country:US
Practice Address - Phone:954-860-8808
Practice Address - Fax:954-860-8857
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190448207V00000X
FLME112840207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014723600Medicaid
NYH06630Medicare UPIN
NY0271HAMedicare ID - Type Unspecified