Bashar Yalldo Md Plc | |
14700 Farmington Rd Ste 105 Livonia MI 48154-5434 | |
(248) 330-7098 | |
Not Available |
Full Name | Bashar Yalldo Md Plc |
---|---|
Speciality | Family Medicine |
Location | 14700 Farmington Rd Ste 105, Livonia, Michigan |
Authorized Official Name and Position | Bashar Yalldo (PRACTICE OWNER) |
Authorized Official Contact | 2483307098 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bashar Yalldo Md Plc 14700 Farmington Rd Ste 105 Livonia MI 48154-5434 Ph: () - | Bashar Yalldo Md Plc 14700 Farmington Rd Ste 105 Livonia MI 48154-5434 Ph: (248) 330-7098 |
NPI Number | 1447867619 |
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Provider Enumeration Date | 09/30/2020 |
Last Update Date | 09/02/2021 |
Medicare PECOS PAC ID | 0042621054 |
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Medicare Enrollment ID | O20201124000380 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447867619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bashar J Yalldo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891133575 PECOS PAC ID: 2264736271 Enrollment ID: I20160628002118 |
Provider Name | Brandon T Karmo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831533645 PECOS PAC ID: 8729384854 Enrollment ID: I20160630000940 |
Provider Name | Nuha Bakkal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245847342 PECOS PAC ID: 4385055391 Enrollment ID: I20201124000556 |
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