Fadi Yasin Md Pllc | |
47166 Michigan Ave Canton MI 48188-2583 | |
(734) 495-9460 | |
(734) 495-9461 |
Full Name | Fadi Yasin Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 47166 Michigan Ave, Canton, Michigan |
Authorized Official Name and Position | Fadi Abu Yasin (MD/OWNER) |
Authorized Official Contact | 7344959460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fadi Yasin Md Pllc 47166 Michigan Ave Canton MI 48188-2583 Ph: (734) 495-9460 | Fadi Yasin Md Pllc 47166 Michigan Ave Canton MI 48188-2583 Ph: (734) 495-9460 |
NPI Number | 1174918684 |
---|---|
Provider Enumeration Date | 04/01/2015 |
Last Update Date | 04/01/2015 |
Medicare PECOS PAC ID | 5890014765 |
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Medicare Enrollment ID | O20150428001387 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174918684 | NPI | - | NPPES |
4301085478 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301085478 (Michigan) | Primary |
Provider Name | Fadi Abu Yasin |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1417070590 PECOS PAC ID: 2365516226 Enrollment ID: I20080811000587 |
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