Provider Demographics
NPI:1841409000
Name:YONKER, PREETI BHANOT (MD)
Entity type:Individual
Prefix:
First Name:PREETI
Middle Name:BHANOT
Last Name:YONKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PREETI
Other - Middle Name:BHANOT
Other - Last Name:YONKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9733 HEALTHWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811
Mailing Address - Country:US
Mailing Address - Phone:410-641-4765
Mailing Address - Fax:410-641-4762
Practice Address - Street 1:9733 HEALTHWAY DRIVE
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811
Practice Address - Country:US
Practice Address - Phone:410-641-4765
Practice Address - Fax:410-641-4762
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00679852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD416030400Medicaid
MD136361YR5Medicare PIN