1972232841 NPI number — MR. YUVAL AVDA M.D.

Table of content: MR. YUVAL AVDA M.D. (NPI 1972232841)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972232841 NPI number — MR. YUVAL AVDA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AVDA
Provider First Name:
YUVAL
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972232841
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/03/2023
NPI Reactivation Date:
08/28/2023

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18 EMEK HASISHANIM ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NESS-ZIONA
Provider Business Mailing Address State Name:
NESS-ZIONA
Provider Business Mailing Address Postal Code:
7404211
Provider Business Mailing Address Country Code:
IL
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1150 NW 14TH STREET
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MIAMI HEALTH SYSTEM DESAI SETHI UROLOGY I
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-243-4000
Provider Business Practice Location Address Fax Number:
305-243-4653
Provider Enumeration Date:
06/07/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)