Alan M Yahanda
Surgeon Surgical Oncologist
3440 De Paul Ln Ste 110a
Bridgeton
, Missouri 63044-3546
Alan M Yahanda
Surgeon Surgical Oncologist
3440 De Paul Ln Ste 110a
Bridgeton
, Missouri 63044-3546
(636) 498-5973
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Alan M Yahanda
- Po Box 955534
- Saint Louis, MO
- Zip : 63195-5534
- Phone : (636) 498-5973
Second Address
- Alan M Yahanda
- 3440 De Paul Ln Ste 110a
- Bridgeton, MO
- Zip : 63044-3546
- Phone : (314) 209-5225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 071202 | GA |
| N | 208600000X | Surgeon | 071202 | GA |
| Y | 2086X0206X | Surgical Oncologist | 2021000619 | MO |
National Provider Identifier
| NPI | 1366443129 |
|---|---|
| Provider Name | Alan M Yahanda |
| First Address | Saint Louis, MO 63195-5534 |
| Second Address | Bridgeton, MO 63044-3546 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 09/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104435249 | (05) | MI |
| 200280990 | (05) | IN |
| 2030304 | (05) | OH |
| E90924 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.