Provider Demographics
NPI:1205999737
Name:YAHYA H. ALLAHHAM,M.D., PLLC
Entity type:Organization
Organization Name:YAHYA H. ALLAHHAM,M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:ALLAHHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-236-7756
Mailing Address - Street 1:1000 E LEXINGTON AVE
Mailing Address - Street 2:SUITE # 25
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-9042
Mailing Address - Country:US
Mailing Address - Phone:859-236-7756
Mailing Address - Fax:859-236-7209
Practice Address - Street 1:1000 E LEXINGTON AVE
Practice Address - Street 2:SUITE # 25
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-9042
Practice Address - Country:US
Practice Address - Phone:859-236-7756
Practice Address - Fax:859-236-7209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty