Provider Demographics
NPI:1871669572
Name:YAKHMI, DAMANJIT K (MD)
Entity Type:Individual
Prefix:
First Name:DAMANJIT
Middle Name:K
Last Name:YAKHMI
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 1:1505 N. LIMESTONE ST.
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-3317
Mailing Address - Country:US
Mailing Address - Phone:937-399-7671
Mailing Address - Fax:937-399-7569
Practice Address - Street 1:1505 N. LIMESTONE ST.
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-3317
Practice Address - Country:US
Practice Address - Phone:937-399-7671
Practice Address - Fax:937-399-7569
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0343722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0202971Medicaid
YA0491202Medicare ID - Type Unspecified
OH0202971Medicaid