Provider Demographics
NPI:1962258798
Name:MOHAMMADYAHAY, ELHAM (MD)
Entity type:Individual
Prefix:
First Name:ELHAM
Middle Name:
Last Name:MOHAMMADYAHAY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 S SPRING AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-2520
Mailing Address - Country:US
Mailing Address - Phone:314-617-3315
Mailing Address - Fax:314-617-3288
Practice Address - Street 1:6410 FANNIN ST STE 732
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-5202
Practice Address - Country:US
Practice Address - Phone:713-500-0530
Practice Address - Fax:713-500-0530
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program