Provider Demographics
NPI:1063716488
Name:MEHARI, YONAS T (DVM, MS)
Entity type:Individual
Prefix:DR
First Name:YONAS
Middle Name:T
Last Name:MEHARI
Suffix:
Gender:M
Credentials:DVM, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 HOLLY HILL CT
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21826-1207
Mailing Address - Country:US
Mailing Address - Phone:202-276-8882
Mailing Address - Fax:
Practice Address - Street 1:251 HOFFMAN BLVD
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017
Practice Address - Country:US
Practice Address - Phone:202-276-8882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-28
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00782900174400000X
MD6708174M00000X
VA0301202833174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
No174400000XOther Service ProvidersSpecialist