Individual
SIVA R YECHOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7640 SYLVANIA AVE, STE L, SYLVANIA, OH 43560-9729
(567) 455-5906
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 473-3561
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35070933
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074553
—
OH
Enumeration date
08/09/2006
Last updated
05/09/2016
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