Provider Demographics
NPI:1306475884
Name:YANKULOVA, BOYANA ZHELYAZKOVA (MD)
Entity type:Individual
Prefix:DR
First Name:BOYANA
Middle Name:ZHELYAZKOVA
Last Name:YANKULOVA
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 1:2900 CONNECTICUT AVE NW APT 313
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1438
Mailing Address - Country:US
Mailing Address - Phone:202-826-7425
Mailing Address - Fax:
Practice Address - Street 1:2900 CONNECTICUT AVE NW APT 313
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1438
Practice Address - Country:US
Practice Address - Phone:202-826-7425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-06
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0101276818207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program