Provider Demographics
NPI:1487894739
Name:YUCHT, SHELDON G (MD)
Entity type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:G
Last Name:YUCHT
Suffix:
Gender:M
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:PO BOX 552
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95241-0552
Mailing Address - Country:US
Mailing Address - Phone:209-931-4792
Mailing Address - Fax:209-931-4792
Practice Address - Street 1:1800 N CALIFORNIA ST
Practice Address - Street 2:ST. JOSEPH'S MEDICAL CENTER
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95204-6019
Practice Address - Country:US
Practice Address - Phone:209-943-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23404207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease