Provider Demographics
NPI:1669153219
Name:ASKAROVA, YETAR
Entity type:Individual
Prefix:
First Name:YETAR
Middle Name:
Last Name:ASKAROVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SWEENEY DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-1103
Mailing Address - Country:US
Mailing Address - Phone:253-802-6200
Mailing Address - Fax:
Practice Address - Street 1:1000 SWEENEY DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-1103
Practice Address - Country:US
Practice Address - Phone:253-802-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant