Provider Demographics
NPI:1598991077
Name:YOGA, ARTHY (MD)
Entity type:Individual
Prefix:
First Name:ARTHY
Middle Name:
Last Name:YOGA
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 1:1161 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-3621
Mailing Address - Country:US
Mailing Address - Phone:718-818-1160
Mailing Address - Fax:855-593-6506
Practice Address - Street 1:1161 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-3621
Practice Address - Country:US
Practice Address - Phone:718-818-1160
Practice Address - Fax:855-593-6506
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2025-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA073893208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX387439801Medicaid