Provider Demographics
NPI:1730408071
Name:YAHYA, SALMA (MD)
Entity type:Individual
Prefix:DR
First Name:SALMA
Middle Name:
Last Name:YAHYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NW AMELIA DR
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-1004
Mailing Address - Country:US
Mailing Address - Phone:570-441-4946
Mailing Address - Fax:
Practice Address - Street 1:700 SW RAMSEY AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97527-5786
Practice Address - Country:US
Practice Address - Phone:541-955-5683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD162515208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics