Provider Demographics
NPI:1770561375
Name:YOVANOF, SILVANA (MD)
Entity type:Individual
Prefix:
First Name:SILVANA
Middle Name:
Last Name:YOVANOF
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 1:420 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063
Mailing Address - Country:US
Mailing Address - Phone:724-258-8680
Mailing Address - Fax:724-258-2920
Practice Address - Street 1:420 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-2552
Practice Address - Country:US
Practice Address - Phone:724-258-8680
Practice Address - Fax:724-258-2920
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD046661L207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3101914OtherAETNA
PA1477910OtherUMWA
PA455853OtherUSHEALTHCARE
PA110198923OtherRAILROAD MEDICARE
PAMA1423389Medicaid
PAMA1423389Medicaid
PAYO416494Medicare ID - Type Unspecified