Fadi Yasin MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301085478 Issued in MI

Legal business name

FADI YASIN MD PLLC

Practice address

47166 Michigan Ave
Canton, MI 48188-2583

Phone

(734) 495-9460

Fax

(734) 495-9461

NPI assigned

Apr 1, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fadi Abu Yasin, MD

Title

MD/Owner

Phone

(734) 495-9460

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fadi Abu Yasin, MD

  • Infectious Disease Physician
  • Canton, MI
  • NPI 1417070590
  Medicare reassignment NPD
• Harneet Kaur, DDS

  • General Practice Dentistry
  • Canton, MI
  • NPI 1366135089
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1174918684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47166 MICHIGAN AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882583",
            "telephone_number": "734-495-9460",
            "fax_number": "734-495-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47166 MICHIGAN AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882583",
            "telephone_number": "734-495-9460",
            "fax_number": "734-495-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADI YASIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "ABU",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "734-495-9460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301085478",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Lynn Eyler, PA-C
• Ez-Way Home Health LLC
• Marie Michelle Ezenwokemodo
• Fernanda Facchinetti
• Elana Fackler
• Taylor Fairley, BA
• Wassim H Fakih, OD
• Family Service of Detroit & Wayne County
• Barbara Fanning
• Eva Farkas, MD

• Internal Medicine Physician in Canton, MI
• Providers in Canton, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.