Provider Demographics
NPI:1740488279
Name:TOVAR, YARA E (MD)
Entity type:Individual
Prefix:
First Name:YARA
Middle Name:E
Last Name:TOVAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YARA
Other - Middle Name:ELIZABETH
Other - Last Name:TOVAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3000 ARLINGTON AVE # MS 1108
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2598
Mailing Address - Country:US
Mailing Address - Phone:419-383-7100
Mailing Address - Fax:419-383-2000
Practice Address - Street 1:2100 W CENTRAL AVE FL 2
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606
Practice Address - Country:US
Practice Address - Phone:567-420-1600
Practice Address - Fax:567-420-1633
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.134755207RE0101X
WV27766207RE0101X
TXN7361207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0235698Medicaid