Individual
UZAY YASAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 FLORIDA AVE STE 100, MODESTO, CA 95350-4423
(209) 577-3388
(209) 523-0764
Mailing address
1805 N CALIFORNIA ST STE 201, STOCKTON, CA 95204-6032
(209) 645-4005
(209) 645-4005
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A79725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003107
—
WV
01
—
CD069A
MEDICARE GROUP PTAN
CA
01
—
CD721Z
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
08/23/2005
Last updated
01/26/2026
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