Yanga, Ismael David
Yanga, Ismael David is an sole proprietor health care provider with primary practice located at 12851 Grand River Rd , Brighton MI 48116-8506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Yanga, Ismael David can be contacted via phone (810) 225-2506.Contact Information
Primary practice address
12851 Grand River Rd
Brighton MI 48116-8506
Phone: (810) 225-2506
Fax: (810) 220-5509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301084033 | Michigan |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 4301084033 | Michigan |
Profile Details
| NPI number | 1184760670 |
|---|---|
| LBN Legal business name | Yanga, Ismael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | May 2nd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184760670 | NPPES |
| Michigan | MEDICAID | 5214028 |
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