Provider Demographics
NPI:1144461237
Name:YELDING-SLOAN, ELLIE (MD)
Entity type:Individual
Prefix:DR
First Name:ELLIE
Middle Name:
Last Name:YELDING-SLOAN
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:PO BOX 1023
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94948-1023
Mailing Address - Country:US
Mailing Address - Phone:415-234-6100
Mailing Address - Fax:415-234-6500
Practice Address - Street 1:909 HYDE ST STE 317
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4841
Practice Address - Country:US
Practice Address - Phone:415-440-4800
Practice Address - Fax:415-885-2183
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106435207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine