Provider Demographics
NPI:1942394713
Name:YANKAMA, RACHEL D (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:D
Last Name:YANKAMA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S SHORE DR
Mailing Address - Street 2:SUITE 224
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4440
Mailing Address - Country:US
Mailing Address - Phone:269-969-6115
Mailing Address - Fax:269-969-6117
Practice Address - Street 1:601 S SHORE DR
Practice Address - Street 2:SUITE 224
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4440
Practice Address - Country:US
Practice Address - Phone:269-969-6115
Practice Address - Fax:269-969-6117
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRY047854174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3447844-10Medicaid
MI0N39780Medicare ID - Type Unspecified
MIA76830Medicare UPIN