| Aneela Yaqoob Md Pllc | |
|
33155 Annapolis St Wayne MI 48184-2405 | |
| (734) 981-5250 | |
| Not Available |
| Full Name | Aneela Yaqoob Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 33155 Annapolis St, Wayne, Michigan |
| Authorized Official Name and Position | Aneela Yaqoob (PRESIDENT) |
| Authorized Official Contact | 7349815250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aneela Yaqoob Md Pllc 3515 Parklawn Dr Canton MI 48188-2315 Ph: (734) 981-5250 | Aneela Yaqoob Md Pllc 33155 Annapolis St Wayne MI 48184-2405 Ph: (734) 981-5250 |
| NPI Number | 1831414622 |
|---|---|
| Provider Enumeration Date | 04/05/2010 |
| Last Update Date | 04/05/2010 |
| Medicare PECOS PAC ID | 3375675085 |
|---|---|
| Medicare Enrollment ID | O20100715000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831414622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 4301075063 (Michigan) | Primary |
| Provider Name | Aneela Yaqoob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104099266 PECOS PAC ID: 8325198617 Enrollment ID: I20090608000474 |
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