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Contact Information

DIMITRI A YANEZ, MD FAC OG
1009 BENIGNO LANE
BAY SAINT LOUIS, MS39520
 Phone: 228-467-2555
 Fax: 228-467-5480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DIMITRI A YANEZ · (Male)

NPI Number 1568537025
Status Active
Credentials MD FAC OG
Entity Individual
Enumeration date 11/21/2006
Last updated 12/15/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 13297
  • MS Medicaid 00124369
  • MS Other 09015700 MEDICAID GROUP
Hospital affiliation(s)
  • HANCOCK MEDICAL CENTER - (Acute Care)
    149 DRINKWATER BLVD
    BAY SAINT LOUIS, MS 39521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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