Active NPI
Ahmed Moh'D Abdel Latif Yassin
- Clinical Neurophysiology Physician
- Pittsburgh, PA
National Provider Identifier
1306115738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 210004
- Practice address
- 3471 5TH Ave
Suite 811
Pittsburgh, PA 15213-3215 - Phone
- (412) 624-1277
- Fax
- (412) 624-2302
- NPI assigned
- Dec 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 210004 | PA | Primary |
Addresses
Primary practice location
3471 5TH Ave
Suite 811
Pittsburgh, PA 15213-3215
Mailing address
3471 5TH Ave
Suite 811
Pittsburgh, PA 15213-3215
Phone (412) 624-1277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210004 | PA | MD | Clinical Neurophysiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1306115738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3471 5TH AVE",
"address_2": "SUITE 811",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133215",
"telephone_number": "412-624-1277",
"fax_number": "412-624-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3471 5TH AVE",
"address_2": "SUITE 811",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133215",
"telephone_number": "412-624-1277",
"fax_number": "412-624-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASSIN",
"first_name": "AHMED",
"middle_name": "MOH'D ABDEL LATIF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-13",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "PA",
"license": "210004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.