Basic Information
Provider Information
NPI: 1336376060
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: URMAN
FirstName: YANA
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: URMAN
OtherFirstName: YANA
OtherMiddleName: M
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 2
Mailing Information
Address1: 800 WASHINGTON ST # 1013
Address2: INTERNAL MEDICINE AND ADULT PRIMARY CARE
City: BOSTON
State: MA
PostalCode: 021111552
CountryCode: US
TelephoneNumber: 6176361083
FaxNumber: 6176368319
Practice Location
Address1: 800 WASHINGTON ST
Address2: INTERNAL MEDICINE AND ADULT PRIMARY CARE
City: BOSTON
State: MA
PostalCode: 021111552
CountryCode: US
TelephoneNumber: 6176361083
FaxNumber: 6176368319
Other Information
ProviderEnumerationDate: 06/21/2009
LastUpdateDate: 07/15/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X240669MAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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