Provider Demographics
NPI:1750572871
Name:YIADOM, MAAME YAA A B (MD, MPH, MSCI)
Entity type:Individual
Prefix:
First Name:MAAME YAA
Middle Name:A B
Last Name:YIADOM
Suffix:
Gender:F
Credentials:MD, MPH, MSCI
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:
Other - Last Name:YIADOM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-723-4000
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-233323207P00000X
NJ25MA08948900207P00000X
CAC168937207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine