Provider Demographics
NPI:1285125492
Name:SINGHATEH, YAHYA
Entity type:Individual
Prefix:
First Name:YAHYA
Middle Name:
Last Name:SINGHATEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8181 SCYENE CIR APT 9306
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-5463
Mailing Address - Country:US
Mailing Address - Phone:347-780-7905
Mailing Address - Fax:
Practice Address - Street 1:8181 SCYENE CIR APT 9306
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-5463
Practice Address - Country:US
Practice Address - Phone:347-780-7905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX939555163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse