Provider Demographics
NPI:1871879106
Name:SEYMOUR, YASHICA ELKOLYN (MD)
Entity type:Individual
Prefix:DR
First Name:YASHICA
Middle Name:ELKOLYN
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 HIGHLAND AVE, H4/831
Mailing Address - Street 2:UW HOSPITALS AND CLINICS
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792
Mailing Address - Country:US
Mailing Address - Phone:608-265-9507
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE, H4/831
Practice Address - Street 2:UW HOSPITALS AND CLINICS
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792
Practice Address - Country:US
Practice Address - Phone:608-265-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program