Provider Demographics
NPI:1770540551
Name:YAHYA, SOFIA S (MD)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:S
Last Name:YAHYA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:325 CLYDE MORRIS BLVD STE 390
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-8179
Mailing Address - Country:US
Mailing Address - Phone:386-676-6335
Mailing Address - Fax:386-256-7629
Practice Address - Street 1:325 CLYDE MORRIS BLVD STE 390
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-8179
Practice Address - Country:US
Practice Address - Phone:386-676-6335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME957822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry