Provider Demographics
NPI:1942576772
Name:MAHER, JACQUELINE YANO (MD)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:YANO
Last Name:MAHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:
Other - Last Name:YANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10 CENTER DR RM 8N248 MSC1840 NICHD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-4313
Mailing Address - Country:US
Mailing Address - Phone:301-451-0398
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DR RM 8N248 MSC1840 NICHD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-4517
Practice Address - Country:US
Practice Address - Phone:301-451-0398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0081327207VE0102X
DCMD047567207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology