Provider Demographics
NPI:1134596554
Name:SILVIA, BARAKHA YADAV (PHARMD)
Entity type:Individual
Prefix:
First Name:BARAKHA
Middle Name:YADAV
Last Name:SILVIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:BARAKHA
Other - Middle Name:
Other - Last Name:YADAV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6501 COUNTY ROAD 118
Mailing Address - Street 2:
Mailing Address - City:BULLARD
Mailing Address - State:TX
Mailing Address - Zip Code:75757-8305
Mailing Address - Country:US
Mailing Address - Phone:806-535-3058
Mailing Address - Fax:
Practice Address - Street 1:520 DOUGLAS BLVD
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-8307
Practice Address - Country:US
Practice Address - Phone:903-606-8235
Practice Address - Fax:903-606-1282
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX532871835P2201X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care