Abu Yasin, Fadi

Abu Yasin, Fadi is an individual health care provider with primary practice located at 47166 Michigan Ave , Canton MI 48188-2583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Abu Yasin, Fadi can be contacted via phone (313) 974-2188.

Contact Information

Primary practice address
47166 Michigan Ave Canton MI 48188-2583
Fax: (313) 344-7456
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301085478 Michigan

Profile Details

NPI number 1417070590
LBN Legal business name Abu Yasin, Fadi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417070590 NPPES
Michigan MEDICAID 1417070590

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