Ahadi, Yong Ja

Ahadi, Yong Ja is an individual health care provider with primary practice located at 2000 Chambers Road , Caro MI 48723-9296. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ahadi, Yong Ja can be contacted via phone (989) 673-3191.

Contact Information

Primary practice address
2000 Chambers Road Caro MI 48723-9296
Fax: (989) 673-0064
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X YA036061 Michigan

Profile Details

NPI number 1831202563
LBN Legal business name Ahadi, Yong Ja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1831202563 NPPES
Michigan Other 7901062 BLUE CROSS / BLUE SHIELD

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