Provider Demographics
NPI:1023073905
Name:FARHEY, YOLANDA DANIELA (MD)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:DANIELA
Last Name:FARHEY
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:PO BOX 636256
Mailing Address - Street 2:CENTRAL CREDENTIALING
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:513-585-5504
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:2123 AUBURN AVE
Practice Address - Street 2:STE 630
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2906
Practice Address - Country:US
Practice Address - Phone:513-585-1970
Practice Address - Fax:513-585-1995
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-070447207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200251060Medicaid
OH2025150Medicaid
KY64005465Medicaid
KY64005465Medicaid
IN200251060Medicaid
OHFA0827721Medicare PIN